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KETTERING INDEPENDENT MEDICAL GROUP INC
NPI 1881999449
Durable Medical Equipment & Medical Supplies in Beavercreek, OH

Active since January 12, 2011
3535 PENTAGON BLVD, STE. 320, BEAVERCREEK, OH 45431(937) 433-5309(937) 424-3650 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 23, 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 1881999449) is a healthcare organization registered as a durable medical equipment & medical supplies in Beavercreek, Ohio and active in the NPI registry since January 2011. The organization lists Timothy Y Ko, Cfo, as its authorized official.

NPPES Registry Identity

NPI1881999449
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameKETTERING INDEPENDENT MEDICAL GROUP INC
Location Address3535 PENTAGON BLVD, STE. 320Beavercreek, OH 45431-1705
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8068
Phone(937) 433-5309
Fax(937) 424-3650
Organization SubpartNo
Authorized OfficialTimothy Y KoCfo · (937) 558-3223
Enumeration DateJanuary 12, 2011
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1881999449 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.
3535 PENTAGON BLVD, Beavercreek, OH 45431
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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.

ASHLEY GEORGE
Nurse Anesthetist, Certified Registered
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4000
EMILY GRACE TROMPAK (O'NEAL) PA-C
Physician Assistant (Medical)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4450
DR. ADELAIDE OMANE CRNA
Nurse Anesthetist, Certified Registered
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4000
GREENE MEMORIAL HOSPITAL SERVICES, INC
Obstetrics & Gynecology
3535 PENTAGON BLVD, SUITE 220
BEAVERCREEK, OH 45431
Greene County (937) 429-7350
MARIAN GAIDA PHAM NP
Nurse Practitioner (Gerontology)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 395-6665
DR. DANIEL B LUCKENBILL MD
Orthopaedic Surgery (Sports Medicine)
3535 PENTAGON BLVD, STE 320
BEAVERCREEK, OH 45431
Greene County (937) 433-5309
MRS. RAEANNE HUNTER FONDRIEST AG-ACNP
Nurse Practitioner (Acute Care)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4024
LINDSEY NICOLE ELLIOTT APRN
Nurse Practitioner (Acute Care)
3535 PENTAGON BLVD
BEAVERCREEK, OH 45431
Greene County (937) 702-4000

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 1881999449. It was assigned to this organization in the NPPES registry on January 12, 2011.

Where is Kettering Independent Medical Group Inc located?

Kettering Independent Medical Group Inc is located at 3535 Pentagon Blvd Ste. 320, Beavercreek, OH 45431. The listed phone number is (937) 433-5309.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.