Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629163431 Individual Practitioner Male Practitioner

Dr. Paul M Gresham , MD

Pediatrics • Kettering, OH

Professional Overview & Biography Verified Profile Summary

Dr. Paul Gresham, MD is a registered healthcare professional specializing in Pediatrics in Kettering, OH. Practice services are available at 1775 DELCO PARK DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1775 Delco Park Drive

Kettering, OH 45420

Telephone 9372992587
Fax 9372990124
Associated Practice Facility / Clinic
🏢 Ohio Pediatrics, Inc. Facility NPI 1619090750

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kettering, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Kettering, OH (3057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OH 35.041067

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0480653 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1033203542

Doctor of Medicine (M.D.)

NPI 1083709471

Doctor of Medicine (M.D.)

NPI 1174617872

Doctor of Medicine (M.D.)

Lida King , PNP

Nurse Practitioner - Pediatrics

NPI 1235224775

Pediatric Nurse Practitioner

NPI 1609962166

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1775 DELCO PARK DRIVE, KETTERING, OH 45420 (Tel: 9372992587)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1775 DELCO PARK DRIVE, KETTERING, OH 45420 (Tel: 9372992587)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL GRESHAM, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (License #35.041067 in OH)

🟢
Initial NPI Registration & Enumeration October 04, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629163431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

1775 Delco Park Drive

Kettering, OH 45420

Phone: 9372992587

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.