Active NPI
Internal Medicine Care, Inc
- Internal Medicine Physician
- Centerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE CARE, INC
- Practice address
- 1989 Miamisburg Centerville Rd
Suite 201
Centerville, OH 45459-3859 - Phone
- (937) 429-0607
- Fax
- (937) 558-3067
- NPI assigned
- Oct 16, 2006
- Last updated
- Feb 14, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Troy A Tyner, D.O.
- Title
- President
- Phone
- (937) 429-0607
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1989 Miamisburg Centerville Rd
Suite 201
Centerville, OH 45459-3859
Mailing address
2510 Commons Blvd
Suite 210
Beavercreek, OH 45431-3820
Phone (937) 429-0607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040323000909 | OH | Part B Supplier - Clinic/Group Practice | 8527959113 |
Receives reassigned benefits from 12 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Beavercreek, OH; Dayton, OH |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Internal Medicine Physician
- Beavercreek, OH
- NPI 1508808098
O20040323000909
-
- Internal Medicine Physician
- Beavercreek, OH
- NPI 1629412408
O20040323000909
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Beavercreek, OH
- NPI 1003814526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392336000000",
"number": "1962582908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 COMMONS BLVD",
"address_2": "SUITE 210",
"city": "BEAVERCREEK",
"state": "OH",
"postal_code": "454313820",
"telephone_number": "937-429-0607",
"fax_number": "937-558-3067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1989 MIAMISBURG CENTERVILLE RD",
"address_2": "SUITE 201",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454593859",
"telephone_number": "937-429-0607",
"fax_number": "937-558-3067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2014-02-14",
"status": "A",
"authorized_official_last_name": "TYNER",
"authorized_official_first_name": "TROY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "937-429-0607",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Centerville, OH
- Jonathan Justin Hutcheson, DO
- Melissa A Hutson, LPTA
- Maureen O Igbinoba, N.P.
- Brent Wilson Imbody, MD
- Integrative Physical Medicine of Dayton
- Internal Medicine of Centerville, LLC
- Interpreting Life Lessons Counseling Services LLC
- J Clarke Sanders DDS-Centerville LLC (Centerville Family Dental)
- J. Kilby Enterprises, Inc. (Ellie Mental Health)
- Jack E. King DDS Inc (King and Mayerson Orthodontics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.