SPECIALTY MEDICINE CARE, LLC (NPI# 1407261035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407261035 |
| Entity Type | Organization |
| Organization Name | SPECIALTY MEDICINE CARE, LLC |
| Practice Address |
2510 Commons Blvd Ste 220 Beavercreek OH 45431-3820 |
| Mailing Address |
2510 Commons Blvd Ste 210 Beavercreek OH 45431-3820 |
| Practice Telephone | 9375583077 |
| Practice Fax Number | 9375583067 |
| Mailing Telephone | 9375583077 |
| Mailing Fax Number | 9375583067 |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |
| Authorized Official Name | DR. TROY TYNER (PRESIDENT) |
| Authorized Official Telephone | 9375583077 |
| Is Organization Subpart | Y |
| Parent Organization Name | INTERNAL MEDICINE CARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536687 | Specialty Medicine Care, LLC | Internal Medicine | 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459-3823 | 2017-09-05 |
| 1619371580 | Specialty Medicine Care, LLC | Internal Medicine | 1250 W. National Rd, Suite 700, Englewood, OH 45315 | 2014-10-21 |
| 1346644697 | Specialty Medicine Care, LLC | Internal Medicine | 41 S Stanfield Rd, Troy, OH 45373-2371 | 2014-10-15 |
| 1033524673 | Specialty Medicine Care, LLC | Internal Medicine | 2510 Commons Blvd, Ste 230, Beavercreek, OH 45431-3820 | 2014-06-23 |
| 1902210636 | Specialty Medicine Care, LLC | Internal Medicine | 8701 Old Troy Pike, Ste 40a, Huber Heights, OH 45424-1066 | 2014-06-20 |
| 1326452053 | Specialty Medicine Care, LLC | Internal Medicine | 6438 Wilmington Pike, Ste 125, Centerville, OH 45459-7022 | 2014-06-20 |
| 1043246630 | Specialty Medicine Care, LLC | Internal Medicine | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3820 | 2006-06-24 |
| Street Address |
2510 COMMONS BLVD STE 220 |
| 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 |
| 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 |
| 1104100627 | The Dayton Heart Center, Inc. | Internal Medicine | 2510 Commons Blvd, Suite 125, Beavercreek, OH 45431-3820 | 2011-10-03 |
| 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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1265826192 | Sonia Ibuki Bennett | Internal Medicine | 725 University Blvd, Beavercreek, OH 45324-2640 | 2015-03-28 |
| 1801907803 | David A Westbrock | Internal Medicine | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3820 | 2006-08-31 |
| 1497753925 | Paul Robert Glowienka | Internal Medicine | 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431-3809 | 2005-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161406 | Marsal Patient Care and Wellness, LLC | Internal Medicine | 225 E State Route 14 Ste 102, Columbiana, OH 44408-8490 | 2020-07-06 |
| 1891296562 | Mohammad Shalabe | Internal Medicine | 2100 W Central Ave Ste 200, Toledo, OH 43606-3817 | 2018-02-27 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1104224757 | Rossana Danese | Internal Medicine | 36321 Oakview Ln, Avon, OH 44011-2275 | 2014-12-15 |
| 1720493190 | Yuanjie Mao | Internal Medicine | 75 Hospital Dr Ste 200, Athens, OH 45701-2859 | 2014-06-24 |
| 1518398866 | Central Ohio Primary Care Physicians Inc | Internal Medicine | 570 Polaris Pkwy, 250, Westerville, OH 43082-7900 | 2013-12-11 |
| 1982035978 | Janice Douglas | Internal Medicine | 41 Haskell Dr, Bratenahl, OH 44108-1169 | 2013-12-02 |
| 1831531052 | Carmen Polanco Santos | Internal Medicine | 1946 Town Park Blvd Ste 330, Uniontown, OH 44685 | 2013-07-30 |
| 1437599958 | Saira Varghese Mammen | Internal Medicine | 16761 Saint Clair Ave # 2, East Liverpool, OH 43920-9400 | 2013-06-28 |
| 1437410982 | Summa Physicians Inc. | Internal Medicine | 1 Park West Blvd Ste 350, Akron, OH 44320-4226 | 2012-05-31 |
| Find all providers with the same taxonomy | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
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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.