Organization Active NPI

Mvhe Inc

Doing business as Tylers Place Medical Group

  • Internal Medicine Physician
  • West Chester, OH
National Provider Identifier
1194999839
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MVHE INC
Doing business as
Tylers Place Medical Group
Practice address
7596 Tylers Place Blvd
Suite B
West Chester, OH 45069-6309
Phone
(513) 779-7790
NPI assigned
Apr 14, 2008
Organization subpart
Yes
Parent organization
MVHE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Authorized official

Name
Kenneth Prunier
Title
Ceo/President
Phone
(937) 208-8213

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7596 Tylers Place Blvd
Suite B
West Chester, OH 45069-6309

Mailing address

7596 Tylers Place Blvd
Suite B
West Chester, OH 45069-6309
Phone (513) 779-7790

Other names 1

  • Tylers Place Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217000553 OH Part B Supplier - Clinic/Group Practice 9537066584 Receives reassigned benefits from 777 practitioners
47 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Franklin, OH; Huber Heights, OH; Jamestown, OH; Kettering, OH; Lebanon, OH; Liberty Township, OH; Middletown, OH; Monroe, OH…

Other NPIs on the same Medicare enrollment 47

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 47

National Provider Directory

National Provider Directory
Part of
Mvhe Inc

Locations

7596 Tylers Place Blvd
Ste B
West Chester, OH 45069
Phone (513) 779-7790

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1194999839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7596 TYLERS PLACE BLVD",
            "address_2": "SUITE B",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696309",
            "telephone_number": "513-779-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7596 TYLERS PLACE BLVD",
            "address_2": "SUITE B",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450696309",
            "telephone_number": "513-779-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MVHE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MVHE INC",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "PRUNIER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "937-208-8213"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tylers Place Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.