Active NPI
John M Duchak MD Cardiology LLC
- Specialist
- Springboro, OH
National Provider Identifier
1255948170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- JOHN M DUCHAK MD CARDIOLOGY LLC
- Practice address
- 572 N Main St
Springboro, OH 45066-9552 - Phone
- (937) 748-8905
- NPI assigned
- Sep 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John M Duchak, M.D.
- Title
- President
- Phone
- (937) 885-3101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
572 N Main St
Springboro, OH 45066-9552
Mailing address
1036 Wild Hickory Lane
Centerville, OH 45458
Phone (937) 885-3101
Other practice location 1
1036 Wild Hickory Lane
Centerville, OH 45458
Phone (937) 885-3101
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712620800000",
"number": "1255948170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 WILD HICKORY LANE",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "45458",
"telephone_number": "937-885-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 N MAIN ST",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450669552",
"telephone_number": "937-748-8905"
}
],
"practiceLocations": [
{
"address_1": "1036 Wild Hickory Lane",
"address_purpose": "LOCATION",
"city": "Centerville",
"state": "OH",
"postal_code": "45458",
"country_code": "US",
"telephone_number": "937-885-3101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JOHN M DUCHAK MD CARDIOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-24",
"last_updated": "2024-04-09",
"certification_date": "2024-04-09",
"status": "A",
"authorized_official_last_name": "DUCHAK",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-885-3101",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springboro, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.