NPIMap

Organization Active NPI

Miami Valley Emergency Specialists, LLC

  • Emergency Medicine Physician
  • Dayton, OH
National Provider Identifier
1821189085
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MIAMI VALLEY EMERGENCY SPECIALISTS, LLC
Practice address
1 Wyoming St
Dayton, OH 45409-2722
Phone
(513) 281-4400
Fax
(513) 587-8213
NPI assigned
Sep 27, 2006
Last updated
Jun 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Dr. Darin J Pangalangan, M.D.NPI 1528159936
Title
President
Phone
(937) 885-0002

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary

Addresses

Primary practice location

1 Wyoming St
Dayton, OH 45409-2722

Mailing address

PO Box 951426
Cleveland, OH 44193-0016
Phone (513) 281-4400

Other identifiers 1

IdentifierTypeStateIssuer
2181973MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000322 OH Part B Supplier - Clinic/Group Practice 9537064183 Receives reassigned benefits from 217 practitioners
Practice locations: Troy, OH; Middletown, OH; Miamisburg, OH; Jamestown, OH; Dayton, OH; Centerville, OH; Beavercreek, OH

National Provider Directory

National Provider Directory

Locations

1 Medical Center Dr
Middletown, OH 45005
Phone (513) 424-2111

Practitioners & affiliated clinicians

Practitioners 309

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 309

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1821189085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951426",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930016",
            "telephone_number": "513-281-4400",
            "fax_number": "513-587-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "513-281-4400",
            "fax_number": "513-587-8213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI VALLEY EMERGENCY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "PANGALANGAN",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-885-0002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2181973",
            "state": "OH"
        }
    ],
    "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 Jun 7, 2011; 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.