Individual provider Active NPI

Alexis D Parks Myton, MD

  • Internal Medicine Physician
  • Vandalia, OH
National Provider Identifier
1487664744
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35067512 Issued in OH
Practice address
235 W National Rd.
Vandalia, OH 45377-9725
Phone
(937) 898-3600
Fax
(937) 898-2731
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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 35067512 OH Primary

Addresses

Primary practice location

235 W National Rd.
Vandalia, OH 45377-9725

Mailing address

235 W National Rd.
Vandalia, OH 45377-1969
Phone (937) 898-3600

Other identifiers 2

IdentifierTypeStateIssuer
35067512OtherOHOHIO MEDICAL LICENSE
0989793MedicaidOH

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
I20050209000511 OH Practitioner - Family PracticePractitioner - Internal Medicine 5698726479 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35067512OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Medical Practices, LLC CurrentSince May 4, 2021 Accepting new patients
Signify Health, LLC CurrentSince Mar 14, 2025 Accepting new patients
Mills Medical Practices, LLC CurrentSince May 4, 2021 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

805 N Whittington Pkwy
Ste 200
Louisville, KY 40222

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

3733 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

3737 Park East Dr
Ste 220
Beachwood, OH 44122
Phone (440) 368-6868

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1487664744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W NATIONAL RD.",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771969",
            "telephone_number": "937-898-3600",
            "fax_number": "937-898-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W NATIONAL RD.",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453779725",
            "telephone_number": "937-898-3600",
            "fax_number": "937-898-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS MYTON",
        "first_name": "ALEXIS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL LICENSE",
            "identifier": "35067512",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0989793",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vandalia, OH

Sources for this page

Verify at the official NPI Registry.