Active NPI
Specialty Medicine Care, LLC
- Endocrinology, Diabetes & Metabolism Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- 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, INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary | ||
| Gastroenterology Physician | 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
- 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.
-
- Internal Medicine Physician
- Beavercreek, OH
- NPI 1952309726
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.