Dayton Veteran Affairs Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

N8859799 Issued in OH

Legal business name

DAYTON VETERAN AFFAIRS MEDICAL CENTER

Practice address

4100 W. Third St
Dayton, OH 45429

Phone

(937) 268-6511

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Stephanie N. Lee, CNMT, RT(N)

Title

Nuclear Medicine Technologist

Phone

(937) 268-6511

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760607154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4939 WOODMAN PARD DR",
            "address_2": "APT 14",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W. THIRD ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45429",
            "telephone_number": "937-268-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON VETERAN AFFAIRS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "NUCLEAR MEDICINE TECHNOLOGIST",
        "authorized_official_telephone_number": "937-268-6511",
        "authorized_official_credential": "CNMT, RT(N)"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "N8859799",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "028817",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "416313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayton VA Medican Center
• Dayton Vamc
• Dayton Vamc
• Dayton Vamc
• Dayton Vamc
• Dayton Vitreo-Retinal Associates, Inc.
• Emily Christine Dayton, OTD
• Hassan Ali Dbouk, MD
• DCR Surgery Center, LLC
• John Karl Lachica De Dios, MD

• General Acute Care Hospital in Dayton, OH
• Providers in Dayton, OH by specialty
• General Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.