KETTERING INDEPENDENT MEDICAL GROUP INC
NPI 1679878060
Durable Medical Equipment & Medical Supplies in Kettering, OH

Active since January 18, 2011
3737 SOUTHERN BLVD, SUITE 2100, KETTERING, OH 45429(937) 294-1632 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 13, 2023, Sep 12, 2016 (2 updates tracked since 2016).

About Kettering Independent Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETTERING INDEPENDENT MEDICAL GROUP INC (NPI 1679878060) is a healthcare organization registered as a durable medical equipment & medical supplies in Kettering, Ohio and active in the NPI registry since January 2011. The organization lists Timothy Y Ko, Cfo, as its authorized official.

NPPES Registry Identity

NPI1679878060
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameKETTERING INDEPENDENT MEDICAL GROUP INC
Location Address3737 SOUTHERN BLVD, SUITE 2100Kettering, OH 45429-1262
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Organization SubpartNo
Authorized OfficialTimothy Y KoCfo · (937) 558-3223
Enumeration DateJanuary 18, 2011
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
NPI 1679878060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
3737 SOUTHERN BLVD, Kettering, OH 45429

Other Identifiers 1

Other614010105OH · Feca

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
3737 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Orthopaedic Surgery
3737 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Surgery
3737 SOUTHERN BLVD, SUITE 2000
KETTERING, OH 45429
Orthopaedic Surgery
3737 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Physician Assistant
3737 SOUTHERN BLVD, BOONSHOFT BLD. FLOOR E
KETTERING, OH 45429
Internal Medicine (Hematology & Oncology)
3737 SOUTHERN BLVD, SUITE 3200
KETTERING, OH 45429
Orthopaedic Surgery
3737 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429
Physician Assistant (Surgical)
3737 SOUTHERN BLVD, SUITE 2100
KETTERING, OH 45429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kettering Independent Medical Group Inc's NPI number?

The NPI number for Kettering Independent Medical Group Inc is 1679878060. It was assigned to this organization in the NPPES registry on January 18, 2011.

Where is Kettering Independent Medical Group Inc located?

Kettering Independent Medical Group Inc is located at 3737 Southern Blvd Suite 2100, Kettering, OH 45429. The listed phone number is (937) 294-1632.

What is Kettering Independent Medical Group Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Kettering Independent Medical Group Inc was last updated on June 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.