DR. BRUCE G HYMON (NPI# 1366424806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366424806 |
| Entity Type | Individual |
| Full Name | DR. BRUCE G HYMON |
| Credential | M.D. |
| Practice Address |
4000 Miamisburg Centerville Rd Suite 100 Miamisburg OH 45342-7615 |
| Practice Telephone | 9378660637 |
| Practice Fax Number | 9378666713 |
| Mailing Telephone | 9378660637 |
| Mailing Fax Number | 9378666713 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2016-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35036771 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM BC/BS | 000000004404 | 01 |
| OH | 0422671 | 05 |
| Street Address |
4000 MIAMISBURG CENTERVILLE RD SUITE 100 |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-7615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608410 | Daniel J Keane | Podiatrist | 4000 Miamisburg Centerville Rd, Ste 201, Miamisburg, OH 45342-3758 | 2005-06-13 |
| 1396346946 | Kettering Medical Center | Rehabilitation Unit | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-11-02 |
| 1326674318 | Sara Van Woerkom | Speech-Language Pathologist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2020-03-21 |
| 1063078749 | Impact Physician Group, Ohio, LLC | Internal Medicine | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2019-05-17 |
| 1336650423 | Ian Muncy | Pharmacist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2017-10-17 |
| 1962927814 | Amy Rolfes | Physical Therapist | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2017-08-11 |
| 1285094359 | Midwest Hyperbaric Physicians, Inc. | Preventive Medicine | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2016-03-02 |
| 1740654490 | Sarah Kaufman | Physician Assistant | 4000 Miamisburg Centerville Rd, Suite 207, Miamisburg, OH 45342-7615 | 2015-11-18 |
| 1992197503 | Dayton Physicians, LLC | Urology | 4000 Miamisburg Centerville Rd, Suite 405, Miamisburg, OH 45342-7615 | 2015-02-19 |
| 1184040149 | Theresa Zwiesler | Nurse Practitioner | 4000 Miamisburg Centerville Rd, Miamisburg, OH 45342-7615 | 2014-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| 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 |
|---|---|---|---|---|
| 1891988259 | Schuster Cardiology Associates, Inc. | Internal Medicine | 4000 Miamisburg Centerville Road, Suite 100, Miamisburg, OH 45342-3758 | 2007-08-20 |
| 1104887280 | David Brewer Stultz | Internal Medicine | 2110 Leiter Rd, Miamisburg, OH 45342-3598 | 2006-03-29 |
| 1114909744 | Milton F Nathan | Internal Medicine | 4000 Miamisburg-centerville Rd., Ste 100, Miamisburg, OH 45342 | 2005-11-18 |
| 1831471226 | Alliance Physician Inc | Internal Medicine | 4000 Miamisburg Centerville Rd, Suite 100, Miamisburg, OH 45342-3674 | 2011-09-13 |
| 1700869161 | Peter M. Lewis | Internal Medicine | 4000 Miamisburg Centerville Rd, Sutie 100, Miamisburg, OH 45342-7615 | 2005-11-21 |
| 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 | MIAMISBURG |
| Zip Code | 45342 |
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| 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.