Provider Demographics
NPI:1306857891
Name:AMES, DONALD WILLIAM (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:WILLIAM
Last Name:AMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6490 CENTERVILLE BUSINESS PKWY
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-2691
Mailing Address - Country:US
Mailing Address - Phone:937-433-5309
Mailing Address - Fax:937-433-1340
Practice Address - Street 1:3737 SOUTHERN BLVD
Practice Address - Street 2:SUITE 2100
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1225
Practice Address - Country:US
Practice Address - Phone:937-433-5309
Practice Address - Fax:937-433-1340
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-05-8273-A207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH738429Medicaid
OHP00313511OtherMEDICARE RAILROAD
OH349750OtherANTHEM
OHP00313511OtherMEDICARE ID
OH4084640OtherAETNA
OH4084640OtherAETNA
OH349750OtherANTHEM
OH4102114Medicare PIN