Active NPI
Holly Papanek, DO
- Internal Medicine Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34-006936
- Practice address
- 30 E Apple St
Ste NW 3300
Dayton, OH 45409 - Phone
- (937) 208-8394
- Fax
- (937) 208-8388
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34-006936 | OH | Primary |
Addresses
Primary practice location
30 E Apple St
Ste NW 3300
Dayton, OH 45409
Mailing address
30 E Apple St
Ste NW 3300
Dayton, OH 45409-2939
Phone (937) 208-8394
Other practice location 1
1 Medical Center Dr
Middletown, OH 45005-2584
Phone (513) 705-4754
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2190374 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Ohio University, College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5818 Wilmington Pike
Suite 101
Dayton, OH 45459-7004
Phone (937) 779-4447
Hospital & facility affiliations
- Ohio Living Village Home Health
- Ohio Living Village Hospice
- Hospice of Dayton
- Trihealth Clinton Regional Hospital
- Ohio Living Cape May
- Ohio Living Quaker Heights
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-006936 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hisey Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Upper Valley Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Sinclair Physician Services, LLC | Internal Medicine | Current | Accepting new patients |
| Mvhe Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Butler County, LTD | Internal Medicine | Past | Accepting new patients |
| Ohio Living Quaker Heights | Past | Accepting new patients |
Locations
722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
2400 Miami Valley Dr
Dayton, OH 45459
Phone (937) 208-8394
2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831
9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394
1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 202
Tipp City, OH 45371
Phone (937) 667-3141
3130 N County Road 25A
Troy, OH 45373
Phone (937) 440-4000
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Dba Mobilexusa | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 1, 2019 May 1, 2019 |
| Ohio Living Cape May | Skilled nursing facility | Adp of the SNF | Aug 10, 2018 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Waynesville, OH
- NPI 1821063975
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Waynesville, OH
- NPI 1275050882
-
- Family Medicine Physician
- Troy, OH
- NPI 1407872518
Internal Medicine
-
- Internal Medicine Physician
- Middletown, OH
- NPI 1497154827
-
- Internal Medicine Physician
- Franklin, OH
- NPI 1477592319
-
- Skilled Nursing Facility
- Waynesville, OH
- NPI 1821063975
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Cincinnati, OH
- NPI 1033133665
-
- Community Based Hospice Care Agency
- Cincinnati, OH
- NPI 1154947174
-
- Community Based Hospice Care Agency
- Dayton, OH
- NPI 1346220142
-
- General Acute Care Hospital
- Wilmington, OH
- NPI 1457243586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1245303932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E APPLE ST",
"address_2": "STE NW 3300",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-8394",
"fax_number": "937-208-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST",
"address_2": "STE NW 3300",
"city": "DAYTON",
"state": "OH",
"postal_code": "45409",
"telephone_number": "937-208-8394",
"fax_number": "937-208-8388"
}
],
"practiceLocations": [
{
"address_1": "1 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "OH",
"postal_code": "450052584",
"country_code": "US",
"telephone_number": "513-705-4754",
"fax_number": "513-420-5156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPANEK",
"first_name": "HOLLY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34-006936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2190374",
"state": "OH"
}
],
"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 Jun 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.