Organization Active NPI

Specialty Medicine Care, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Beavercreek, OH
National Provider Identifier
1043246630
Registry record updated Oct 27, 2023
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
2633 Commons Blvd Ste 120
Beavercreek, OH 45431-3827
Phone
(937) 429-0607
Fax
(937) 702-9041
NPI assigned
Jun 24, 2006
Organization subpart
Yes
Parent organization
INTERNAL MEDICINE CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Authorized official

Name
Dr. Troy A Tyner, DO
Title
President
Phone
(937) 429-0607

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

2633 Commons Blvd Ste 120
Beavercreek, OH 45431-3827

Mailing address

2633 Commons Blvd Ste 120
Beavercreek, OH 45431-3827
Phone (937) 429-0607

National Provider Directory

National Provider Directory
Part of
Internal Medicine Care Inc

Locations

2510 Commons Blvd
Ste 210
Beavercreek, OH 45431
Phone (937) 558-3062

1250 W National Rd
Ste 230
Englewood, OH 45315

41 S Stanfield Rd
Troy, OH 45373
Phone (937) 558-3077

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1043246630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2633 COMMONS BLVD STE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313827",
            "telephone_number": "937-429-0607",
            "fax_number": "937-702-9041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 COMMONS BLVD STE 120",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454313827",
            "telephone_number": "937-429-0607",
            "fax_number": "937-702-9041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY MEDICINE CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTERNAL MEDICINE CARE, INC",
        "enumeration_date": "2006-06-24",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "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": "937-429-0607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "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 Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.