Dayton Internal Medicine, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

002990 Issued in GA

Legal business name

DAYTON INTERNAL MEDICINE, PLLC

Practice address

188 16TH Ave
Suite 107
Dayton, TN 37321-1036

Phone

(423) 775-6933

Fax

(423) 775-3372

NPI assigned

Jun 8, 2011

Last updated

Jun 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hak S. Seo, M.D.NPI 1043471238

Title

Owner

Phone

(423) 775-6933

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Hak Sok Seo, MD

  • Internal Medicine Physician
  • Dayton, TN
  • NPI 1043471238
  Medicare reassignment Care Compare group NPD Authorized official
• Lindsay Michaela Hicks, APRN

  • Family Nurse Practitioner
  • Spring City, TN
  • NPI 1134626625
  Medicare reassignment Care Compare group NPD
• Claire Williams Higginbotham, PA

  • Physician Assistant
  • Dayton, TN
  • NPI 1346993185
  Medicare reassignment Care Compare group
• Hayley Brewster Ruebusch, APRN

  • Nurse Practitioner
  • Chattanooga, TN
  • NPI 1124674403
  Medicare reassignment NPD
• Katie Lee Arnold, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jasper, GA
  • NPI 1447709845

  TN

  Medicare reassignment NPD
• Jessica Leigh Cochran, PA-C

  • Surgical Physician Assistant
  • Chattanooga, TN
  • NPI 1841744331
  Medicare reassignment
• Megan H Nelson, PA-C

  • Physician Assistant
  • Kingston, TN
  • NPI 1982966966
  Medicare reassignment
• Kathryn Orten, PA-C

  • Physician Assistant
  • Clarksville, TN
  • NPI 1801565387
  Medicare reassignment
• Alexandra Hayden Revlett, PA-C

  • Medical Physician Assistant
  • Tullahoma, TN
  • NPI 1285351916
  Medicare reassignment
• Kasey Kristen Thompson, PA-C

  • Physician Assistant
  • Cleveland, TN
  • NPI 1245821735
  Medicare reassignment

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1942594841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 16TH AVE",
            "address_2": "SUITE 107",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211036",
            "telephone_number": "423-775-6933",
            "fax_number": "423-775-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 16TH AVE",
            "address_2": "SUITE 107",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373211036",
            "telephone_number": "423-775-6933",
            "fax_number": "423-775-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTON INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "HAK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-775-6933",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "002990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley N Davis, PTA
• Barbara Lynn Davis
• Dayspring Pediatrics PLC (Dayspring Pediatrics)
• Dayton Drug and Wellness LLC (Dayton Drug and Wellness)
• Dayton Drug and Wellness LLC (Dayton Drug and Wellness, LTC)
• Dayton KDC PLLC (Dayton Dental Center)
• Dayton Medical Investors, LLC (Life Care Center of Rhea County)
• Dayton Pediatrics P C
• Autumn Dayton
• Dennis Vanmeter, DMD PC

• Internal Medicine Physician in Dayton, TN
• Providers in Dayton, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.