Integrative Physical Medicine of Dayton

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTEGRATIVE PHYSICAL MEDICINE OF DAYTON

Practice address

1504 Yankee Park PL
Centerville, OH 45458-1878

Phone

(937) 424-3068

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Tim Dooley, DC

Title

President

Phone

(937) 424-3068

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 4

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

• Timothy David Dooley, D.C.

  • Chiropractor
  • Centerville, OH
  • NPI 1013140664
  Medicare reassignment Care Compare group NPD
• Patrick Thomas O'Bryan, D.C.

  • Chiropractor
  • Centerville, OH
  • NPI 1023355112
  Medicare reassignment Care Compare group NPD
• Mary Weller, AGPCNP

  • Nurse Practitioner
  • Dayton, OH
  • NPI 1659758860
  Medicare reassignment Care Compare group NPD
• Robert Timothy Richards, MD

  • General Practice Physician
  • Newark, OH
  • NPI 1518907146
  Medicare reassignment NPD

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1952777039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 YANKEE PARK PL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581878",
            "telephone_number": "937-424-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 YANKEE PARK PL",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454581878",
            "telephone_number": "937-424-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL MEDICINE OF DAYTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "DOOLEY",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-424-3068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rose Lee Hurst
• Jonathan Justin Hutcheson, DO
• Melissa A Hutson, LPTA
• Maureen O Igbinoba, N.P.
• Brent Wilson Imbody, MD
• Internal Medicine Care, Inc
• Internal Medicine of Centerville, LLC
• Interpreting Life Lessons Counseling Services LLC
• J Clarke Sanders DDS-Centerville LLC
• J. Kilby Enterprises, Inc.

• General Practice Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.