NPIMap

Organization Active NPI

Dayton Physicians, LLC

  • Hematology & Oncology Physician
  • Dayton, OH
National Provider Identifier
1902844947
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
DAYTON PHYSICIANS, LLC
Practice address
3120 Governors Place Blvd
Dayton, OH 45409-1328
Phone
(937) 293-1622
Fax
(937) 245-6308
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Ms. Brenda Sergent
Title
Credentialing Specialist
Phone
(937) 280-8366

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 35077949 OH
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X
Anatomic Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZP0101X 35055113 OH
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X 35070882R OH
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 35036788 OH
Clinic Pharmacy 3336C0002X
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

3120 Governors Place Blvd
Dayton, OH 45409-1328

Mailing address

6680 Poe Ave
Suite 200
Dayton, OH 45414
Phone (937) 280-8366

Other practice location 1

855 W Market St
Troy, OH 45373-3837
Phone (937) 293-1622

Other practice location 2

2300 Miami Valley Dr Ste 150
Centerville, OH 45459-1294
Phone (937) 293-1622

Other practice location 3

3130 N County Road 25A
Troy, OH 45373-1337
Phone (937) 293-1622

Other practice location 4

501 Atrium Dr Ste 100
Middletown, OH 45005-5165
Phone (937) 293-1622

Other practice location 5

1111 Sweitzer St Ste C
Greenville, OH 45331-1189
Phone (937) 293-1622

Other practice location 6

2350 Miami Valley Dr Ste 500
Centerville, OH 45459-4780
Phone (937) 293-1622

Other practice location 7

9000 N Main St Ste 200
Englewood, OH 45415-1165
Phone (937) 293-1622

Other practice location 8

8881 N Main St
Dayton, OH 45415-1333
Phone (937) 293-1622

Other practice location 9

9000 N Main St Ste G-37
Englewood, OH 45415-1180
Phone (937) 293-1622

Other identifiers 1

IdentifierTypeStateIssuer
2609172MedicaidOH

Other names 1

  • Dayton Physicians Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@dpn.oncoemrdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20060112000005 OH Part B Supplier - Clinic/Group Practice 1456374859 Receives reassigned benefits from 47 practitioners
1 other NPI on this enrollment
Practice locations: Englewood, OH; Troy, OH; Middletown, OH; Kettering, OH; Greenville, OH; Dayton, OH; Centerville, OH
O20121018000572 OH DME Supplier - Physician - Hematology/Oncology 1456374859 Practice locations: Dayton, OH
O20150407002456 OH DME Supplier - Physician - Urology 1456374859 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Centerville, OH

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2300 Miami Valley Dr
Centerville, OH 45459
Phone (937) 312-1585

9000 N Main St
Englewood, OH 45415
Phone (937) 208-8394

9000 N Main St
Ste G-36
Englewood, OH 45415
Phone (937) 832-1093

501 Atrium Dr
Fl 1
Middletown, OH 45005

501 Atrium Dr
#1
Middletown, OH 45005

3130 N County Road 25A
Ste 500
Troy, OH 45373

Interoperability endpoints

  • Direct secure messaging: admin@dpn.oncoemrdirect.com

Practitioners & affiliated clinicians

Practitioners 51

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

View all 51

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1902844947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6680 POE AVE",
            "address_2": "SUITE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45414",
            "telephone_number": "937-280-8366",
            "fax_number": "937-280-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 GOVERNORS PLACE BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091328",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 W Market St",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453733837",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Miami Valley Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454591294",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3130 N County Road 25A",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "OH",
            "postal_code": "453731337",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Atrium Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "OH",
            "postal_code": "450055165",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Sweitzer St Ste C",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "OH",
            "postal_code": "453311189",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Miami Valley Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Centerville",
            "state": "OH",
            "postal_code": "454594780",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151165",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8881 N Main St",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454151333",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9000 N Main St Ste G-37",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "454151180",
            "country_code": "US",
            "telephone_number": "937-293-1622",
            "fax_number": "937-245-6308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAYTON PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "SERGENT",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "937-280-8366",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": "35077949",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology",
            "state": "OH",
            "license": "35055113",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35070882R",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35036788",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2609172",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@dpn.oncoemrdirect.com",
            "affiliation": "N",
            "address_1": "3120 Governor's Place Blvd",
            "city": "Dayton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Dayton Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dayton Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 29, 2024; 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.