Active NPI
Internal Medicine Care, Inc
- Internal Medicine Physician
- Centerville, OH
National Provider Identifier
1962582908
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
- 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
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 DirectoryNPI 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
- J. Kilby Enterprises, Inc.
- Jack E. King DDS Inc
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.