Individual provider Active NPI

Holly Papanek, DO

  • Internal Medicine Physician
  • Dayton, OH
National Provider Identifier
1245303932
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-006936 Issued in OH
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

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2190374MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081209000034 OH Practitioner - Internal Medicine 6103987227 Reassigns benefits to 5 organizations

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
Holly N Papanek DO LLCGroup PAC ID 8224301551, 2 clinicians

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 Home health agency, Cincinnati, OH, CCN 367429
  • Ohio Living Village Hospice Hospice, Cincinnati, OH, CCN 361655
  • Hospice of Dayton Hospice, Dayton, OH, CCN 361501
  • Trihealth Clinton Regional Hospital Hospital, Wilmington, OH, CCN 360175
  • Ohio Living Cape May Nursing home, Wilmington, OH, CCN 366415
  • Ohio Living Quaker Heights Nursing home, Waynesville, OH, CCN 365974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-006936OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hisey Physician Services, LLC Internal Medicine CurrentSince May 1, 2024 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Sep 1, 2008 Accepting new patients
Upper Valley Professional Corporation Internal Medicine CurrentSince Jul 10, 2023 Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Sep 1, 2008 Accepting new patients
Sinclair Physician Services, LLC Internal Medicine CurrentSince Mar 18, 2024 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.

FacilityTypeRoleSince
Dba MobilexusaWaynesville, OH, CCN 365974 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2019
May 1, 2019
Ohio Living Cape MayWilmington, OH, CCN 366415 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.

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.