Organization Active NPI

Specialty Medicine Care, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Dayton, OH
National Provider Identifier
1023536687
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SPECIALTY MEDICINE CARE, LLC
Practice address
1989 Miamisburg Centerville Rd Ste 304
Dayton, OH 45459-3823
Phone
(937) 429-0607
NPI assigned
Sep 5, 2017
Organization subpart
Yes
Parent organization
INTERNAL MEDICINE CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Troy A Tyner, D.O.
Title
President
Phone
(937) 558-3061

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X Primary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X

Addresses

Primary practice location

1989 Miamisburg Centerville Rd Ste 304
Dayton, OH 45459-3823

Mailing address

2510 Commons Blvd Ste 210
Beavercreek, OH 45431-3821
Phone (937) 558-3061

Other practice location 1

2510 Commons Blvd Ste 210
Beavercreek, OH 45431-3821
Phone (937) 558-3061

National Provider Directory

National Provider Directory
Part of
Internal Medicine Care Inc

Locations

2510 Commons Blvd
Ste 220
Beavercreek, OH 45431
Phone (937) 427-8912

2510 Commons Blvd
Ste 230
Beavercreek, OH 45431
Phone (937) 429-2139

1250 W National Rd
Ste 700
Englewood, OH 45315
Phone (937) 558-3077

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/442/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1023536687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 COMMONS BLVD STE 210",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313821",
            "telephone_number": "937-558-3061",
            "fax_number": "937-836-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1989 MIAMISBURG CENTERVILLE RD STE 304",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593823",
            "telephone_number": "937-429-0607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Commons Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454313821",
            "country_code": "US",
            "telephone_number": "937-558-3061",
            "fax_number": "937-836-6709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPECIALTY MEDICINE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNAL MEDICINE CARE, INC",
        "enumeration_date": "2017-09-05",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TYNER",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-558-3061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.