Organization Active NPI

The Dayton Heart Center, Inc.

  • Cardiovascular Disease Physician
  • Centerville, OH
National Provider Identifier
1275817793
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
THE DAYTON HEART CENTER, INC.
Practice address
6623 Centerville Business Pkwy
Centerville, OH 45459-2655
Phone
(937) 291-6900
NPI assigned
Oct 3, 2011
Last updated
Oct 3, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
THE DAYTON HEART CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Mr. Ronny E. Shumaker
Title
Executive Director
Phone
(937) 276-8506

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary
Clinical Cardiac Electrophysiology Physician 207RC0001X NU
Interventional Cardiology Physician 207RI0011X NU

Addresses

Primary practice location

6623 Centerville Business Pkwy
Centerville, OH 45459-2655

Mailing address

1530 Needmore Rd
3Rd Floor
Dayton, OH 45414-3969
Phone (937) 277-4274

Other identifiers 1

IdentifierTypeStateIssuer
9919881OtherMEDICARE PTAN

Other names 1

  • The Dayton Heart Center/South Other name

National Provider Directory

National Provider Directory
Part of
Dayton Heart Center

Locations

6623 Centerville Business Pkwy
Centerville, OH 45459
Phone (937) 291-6900

1530 Needmore Rd
Fl 3
Dayton, OH 45414

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1275817793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 NEEDMORE RD",
            "address_2": "3RD FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454143969",
            "telephone_number": "937-277-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6623 CENTERVILLE BUSINESS PKWY",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454592655",
            "telephone_number": "937-291-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DAYTON HEART CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE DAYTON HEART CENTER, INC.",
        "enumeration_date": "2011-10-03",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "SHUMAKER",
        "authorized_official_first_name": "RONNY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-276-8506",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9919881",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dayton Heart Center/South",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Centerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.