Dr. Samuel K Dzodzomenyo
MD | Pediatric Sleep Medicine | Male
Dr. Samuel K Dzodzomenyo, MD is a Dayton, Ohio based Pediatric doctor with medical specialization in
Pediatric Sleep Medicine.
Current practice location of Dr. Samuel K Dzodzomenyo is
1 Childrens Plz, Dayton, Ohio - 45404-1815. He can be contacted on phone at
937-641-4000 and fax number 937-641-4500.
Dr. Samuel K Dzodzomenyo is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Samuel K Dzodzomenyo is
1407857063 which was assigned by NPPES on 04 Aug, 2005 and it was last updated on 16 Jan, 2023.
Dr. Samuel K Dzodzomenyo license number is
35.070439 for Pediatrics, Sleep Medicine (2080S0012X) in Ohio.
Dr. Samuel K Dzodzomenyo practices sleep medicine and the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Complete Profile:
Dr. Samuel K Dzodzomenyo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Sleep Medicine |
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| Provider Name : | Dr. Samuel K Dzodzomenyo |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Samuel K Dzodzomenyo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Childrens Plz
Dayton, OH, 45404-1815
United States |
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| Phone Number : | 937-641-4000 |
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| Fax Number : | 937-641-4500 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1407857063 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 04 Aug, 2005 |
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| Last Updated On : | 16 Jan, 2023 |
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Medicare Participation:
Dr. Samuel K Dzodzomenyo participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 3476628868 |
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| Medicare Enrollment ID : | I20080819000982 |
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| Primary Specialty : | Sleep Medicine |
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| Medical School : | Other |
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| Graduation Year : | 1986 |
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| Accepts Medicare? | Yes. Dr. Samuel K Dzodzomenyo accepts medicare insurance. |
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Group Practice Association:
Dr. Samuel K Dzodzomenyo is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Samuel K Dzodzomenyo is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Dayton Childrens Specialty Physicians Inc | 5496916124 | 38 | 1 Childrens Plz
Dayton, OH - 454041873
Ph: 9376414000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Samuel K Dzodzomenyo are as mentioned. Primary taxonomy code for Dr. Samuel K Dzodzomenyo, MD is
2080S0012X (Pediatrics, Sleep Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2084N0400X | Psychiatry & Neurology, Neurology | No | 35070439 | OH |
| 2080S0012X | Pediatrics, Sleep Medicine | Yes | 35.070439 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Samuel K Dzodzomenyo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0249270 | MEDICAID | OH | |
| 64086143 | MEDICAID | KY | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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3333 W TECH RD,
MIAMISBURG, OH, 45342-0955
United States | MIAMISBURG, OH | 937-641-4000 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1 Childrens Plz
Dayton, OH, 45404-1815
United States |
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| Phone Number : | 937-641-3000 |
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Business Location:
Patients can refer following map for directions to
Dr. Samuel K Dzodzomenyo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.