NPIMap

Organization Active NPI

Ohio Musculoskeletal Sports and Spine

  • Physical Medicine & Rehabilitation Physician
  • Dayton, OH
National Provider Identifier
1740720325
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
OHIO MUSCULOSKELETAL SPORTS AND SPINE
Practice address
320 Albany St
Dayton, OH 45417-3402
Phone
(937) 496-6200
NPI assigned
Mar 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Chauncy L Eakins, M.D.NPI 1932352622
Title
Owner
Phone
(937) 369-4933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

320 Albany St
Dayton, OH 45417-3402

Mailing address

2136 McKinley Ave
Cincinnati, OH 45224-1832
Phone (973) 369-4933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170517000908 OH Part B Supplier - Clinic/Group Practice 1850668195 Receives reassigned benefits from 15 practitioners
Practice locations: Middletown, OH; Mason, OH; Fairfield, OH; Englewood, OH; Dayton, OH; Blue Ash, OH

National Provider Directory

National Provider Directory

Locations

4291 Parkview Dr
Blue Ash, OH 45242
Phone (513) 788-3313

1 Elizabeth Pl
Dayton, OH 45417
Phone (937) 424-8200

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1740720325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 MCKINLEY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452241832",
            "telephone_number": "973-369-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ALBANY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173402",
            "telephone_number": "937-496-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO MUSCULOSKELETAL SPORTS AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "EAKINS",
        "authorized_official_first_name": "CHAUNCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-369-4933",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.