THE DAYTON HEART CENTER, INC. (NPI# 1104100627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104100627 |
| Entity Type | Organization |
| Organization Name | THE DAYTON HEART CENTER, INC. |
| Other Organization Name | THE DAYTON HEART CENTER/BEAVERCREEK |
| Practice Address |
2510 Commons Blvd Suite 125 Beavercreek OH 45431-3820 |
| Mailing Address |
1530 Needmore Rd 3rd Floor Dayton OH 45414-3969 |
| Practice Telephone | 9373200630 |
| Mailing Telephone | 9372774274 |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |
| Authorized Official Name | MR. RONNY E. SHUMAKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9372768506 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE DAYTON HEART CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PTAN | 9919881 | 01 |
| Other Name | Type Code |
|---|---|
| The Dayton Heart Center/Beavercreek | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285918706 | The Dayton Heart Center, Inc. | Internal Medicine | 742 Sweitzer St, Greenville, OH 45331-1099 | 2011-10-03 |
| 1275817793 | The Dayton Heart Center, Inc. | Internal Medicine | 6623 Centerville Business Pkwy, Centerville, OH 45459-2655 | 2011-10-03 |
| 1558363762 | The Dayton Heart Center, Inc. | Internal Medicine | 1530 Needmore Rd, Ste 300, Dayton, OH 45414-3969 | 2005-06-01 |
| Street Address |
2510 COMMONS BLVD SUITE 125 |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-3820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242534 | Joseph N. Gunasekera | Internal Medicine | 2510 Commons Blvd, Suite 140, Beavercreek, OH 45431-3820 | 2005-06-01 |
| 1407261035 | Specialty Medicine Care, LLC | Internal Medicine | 2510 Commons Blvd, Ste 220, Beavercreek, OH 45431-3820 | 2014-06-23 |
| 1033524673 | Specialty Medicine Care, LLC | Internal Medicine | 2510 Commons Blvd, Ste 230, Beavercreek, OH 45431-3820 | 2014-06-23 |
| 1154756765 | Sheryl Spires | Nurse Practitioner | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3820 | 2013-09-13 |
| 1629412408 | Internal Medicine Care, Inc | Internal Medicine | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3820 | 2013-04-23 |
| 1811242571 | Joseph Robert Crawford | Internal Medicine | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3821 | 2012-07-18 |
| 1134490931 | Alliance Physicians Inc | Internal Medicine | 2510 Commons Blvd, Suite 140, Beavercreek, OH 45431-3820 | 2012-01-25 |
| 1699044081 | April E. Williams | Specialist | 2510 Commons Blvd, Suite 240, Beavercreek, OH 45431-3820 | 2011-12-14 |
| 1558643957 | Alliance Physician Inc | Internal Medicine | 2510 Commons Blvd, Suite 140b, Beavercreek, OH 45431-3820 | 2011-09-13 |
| 1548542947 | Alliance Physician Inc | Family Medicine | 2510 Commons Blvd, Suite 160, Beavercreek, OH 45431-3834 | 2011-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760471692 | Ashraf Koraym | Internal Medicine | 2365 Lakeview Dr, Suite D, Beavercreek, OH 45431-4600 | 2005-10-13 |
| 1346242534 | Joseph N. Gunasekera | Internal Medicine | 2510 Commons Blvd, Suite 140, Beavercreek, OH 45431-3820 | 2005-06-01 |
| 1134490931 | Alliance Physicians Inc | Internal Medicine | 2510 Commons Blvd, Suite 140, Beavercreek, OH 45431-3820 | 2012-01-25 |
| 1558643957 | Alliance Physician Inc | Internal Medicine | 2510 Commons Blvd, Suite 140b, Beavercreek, OH 45431-3820 | 2011-09-13 |
| 1275735474 | Cardiology Specialists of Dayton Inc | Internal Medicine | 2510 Commons Blvd, Suite 200b, Beavercreek, OH 45431-3809 | 2007-06-01 |
| 1538188735 | Premier Heart Associates, Inc | Internal Medicine | 722 N Fairfield Rd, Beavercreek, OH 45434-5918 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912569781 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Ste 1b, Columbus, OH 43206-2398 | 2019-07-02 |
| 1093377764 | Tom Kai Ming Wang | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue Na23, Cleveland, OH 44195-0001 | 2019-07-02 |
| 1316504723 | Olivia Kay Preston | Internal Medicine | 543 Taylor Ave Ste 3002, Columbus, OH 43203-1278 | 2019-05-21 |
| 1932669181 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Unit B Ste 1, Columbus, OH 43206-2398 | 2019-03-23 |
| 1982168100 | Optimum Cardiology Inc | Internal Medicine | 4825 Higbee Ave Nw Ste 102, Canton, OH 44718-2567 | 2019-01-23 |
| 1053859124 | Andrew Michael Dominic Crean | Internal Medicine | Division of Cardiovascular Health And, 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-02-08 |
| 1306393541 | Lima Memorial Professional Corporation | Internal Medicine | 140 Fox Rd Ste 103 1/2, Van Wert, OH 45891-3400 | 2016-09-06 |
| 1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
| 1720432693 | Radoslav Zinoviev | Internal Medicine | 9500 Euclid Ave Rm J3-6, Cleveland, OH 44195-3220 | 2016-04-18 |
| 1053773838 | Dayton Springfield Heart and Vascular Medicine, LLC | Internal Medicine | 7111 N. Main St., Suite 50, Dayton, OH 45415-2558 | 2016-03-22 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
Please comment or provide details below to improve the information on THE DAYTON HEART CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.