Provider Demographics
NPI:1043397151
Name:DAYTON NEWBORN CARE SPECIALISTS, INC.
Entity Type:Organization
Organization Name:DAYTON NEWBORN CARE SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:YOHANNAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-641-3414
Mailing Address - Street 1:PO BOX 643727
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45264-0309
Mailing Address - Country:US
Mailing Address - Phone:937-641-3414
Mailing Address - Fax:937-641-5446
Practice Address - Street 1:1 CHILDRENS PLZ
Practice Address - Street 2:RM4085
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1898
Practice Address - Country:US
Practice Address - Phone:937-641-3414
Practice Address - Fax:937-641-5406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty