Active NPI
John A Dutro, MD
- Surgery Physician
- Greenville, OH
National Provider Identifier
1831189414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35049343
- Practice address
- 804 Central Ave
Greenville, OH 45331-1206 - Phone
- (937) 548-1141
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 35049343 | OH | Primary |
Addresses
Primary practice location
804 Central Ave
Greenville, OH 45331-1206
Mailing address
835 Sweitzer St
Greenville, OH 45331-1077
Phone (937) 569-6937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0664946 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35049343 | OH | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1831189414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 SWEITZER ST",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453311077",
"telephone_number": "937-569-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 CENTRAL AVE",
"city": "GREENVILLE",
"state": "OH",
"postal_code": "453311206",
"telephone_number": "937-548-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTRO",
"first_name": "JOHN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "35049343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0664946",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.