KETTERING MEDICAL CENTER
NPI 1699846287
Military Hospital - Military General Acute Care Hospital in Kettering, OH

Q: What is Wright State University Dept Of Emergency Medicine's specialty?

The primary specialty registered for this NPI is Military Hospital, specializing in Military General Acute Care Hospital, with taxonomy code 2865M2000X.

Active since November 13, 2006

3535 SOUTHERN BLVD, KETTERING MEDICAL CENTER, KETTERING, OH 45429(937) 395-8839 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kettering Medical Center NPPES

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

KETTERING MEDICAL CENTER (NPI 1699846287) is a healthcare organization registered as a military general acute care hospital in Kettering, Ohio and active in the NPI registry since November 2006. The organization lists Cindy Lou Harris, Resident, Emergency Medicine, as its authorized official.

NPPES Registry Identity

NPI1699846287

Entity TypeOrganization

Primary Taxonomy2865M2000X

Legal Business NameWRIGHT STATE UNIVERSITY DEPT OF EMERGENCY MEDICINE

Location Address3535 SOUTHERN BLVD, KETTERING MEDICAL CENTERKettering, OH 45429-1221

Mailing Address3881 Felice CtBeavercreek, OH 45432-2073 · (937) 431-5401

Phone(937) 395-8839

Organization SubpartNo

Authorized OfficialCindy Lou HarrisResident, Emergency Medicine · (937) 395-8839

Enumeration DateNovember 13, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1699846287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Hospital · Military General Acute Care HospitalHospitals

Taxonomy Code2865M2000X

License✔ Licensed in TN · MD40610

Definition

A Department of Defense (DoD) health care organization furnishing inpatient care 24 hours per day in fixed facilities, primarily for DoD beneficiaries. Entity is Defense Health Program (DHP) funded. A fixed facility is a non-temporary, non-deployed facility usually used for health care services. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes those services and institutional costs usually included in a Diagnosis Related Group as well as pass-through items.

3535 SOUTHERN BLVD, Kettering, OH 45429

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Other Names 1

Other NameKettering Medical Center

Other Providers at the Same Location NPPES 20

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

RAGHEED KATKHUDA MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

ANNEMARIE ROSE UNDERWOOD PA-C

Physician Assistant

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8166

SYLVIA POLENAKOVIK M.D.

Internal Medicine

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-6665

SUSAN KAY ZANN RNFS

Registered Nurse (Registered Nurse First Assistant)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-8608

SWATHI DATLA M.B.B.S.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. LOREN ANN NALLU MD

Pediatrics (Neonatal-Perinatal Medicine)

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 752-2304

DR. JEREMY LAWTON CHAPMAN D.O.

Hospitalist

3535 SOUTHERN BLVD
KETTERING, OH 45429

Montgomery County (937) 395-6665

DR. RAHUL RAO DO

Radiology (Diagnostic Radiology)

3535 SOUTHERN BLVD
DAYTON, OH 45429

Montgomery County (937) 395-8627

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 Wright State University Dept Of Emergency Medicine's NPI number?

The NPI number for Wright State University Dept Of Emergency Medicine is 1699846287. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is also known as Kettering Medical Center.

Where is Wright State University Dept Of Emergency Medicine located?

Wright State University Dept Of Emergency Medicine is located at 3535 Southern Blvd Kettering Medical Center, Kettering, OH 45429. The listed phone number is (937) 395-8839.

What is Wright State University Dept Of Emergency Medicine's specialty?

The primary specialty registered for this NPI is Military Hospital, specializing in Military General Acute Care Hospital, with taxonomy code 2865M2000X.

When was this NPI record last updated?

The NPPES record for Wright State University Dept Of Emergency Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.