JOHN M. DUCHAK III (NPI# 1841269057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841269057 |
| Entity Type | Individual |
| Full Name | JOHN M. DUCHAK III |
| Credential | MD |
| Practice Address |
1126 S Main St Dayton OH 45409-2687 |
| Practice Telephone | 9372233053 |
| Practice Fax Number | 9374631765 |
| Mailing Telephone | 9372233053 |
| Mailing Fax Number | 9374631765 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2015-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35.064642 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0952518 | 05 | |
| OH | RAILROAD MEDICARE | 110077875 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144780735 | John Michael Duchak Iv | Student in an Organized Health Care Education/Training Program | 2799 W Grand Blvd, Detroit, MI 48202-2689 | 2019-03-21 |
| Street Address |
1126 S MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45409-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306815808 | Ceferino J. Cata | Internal Medicine | 1126 S Main St, Dayton, OH 45409-2687 | 2006-03-16 |
| 1316275621 | Melissa A Murphy | Registered Nurse | 1126 S Main St, Dayton, OH 45409-2616 | 2009-11-24 |
| 1679713515 | Angela J Fields | Registered Nurse | 1126 S Main St, Dayton, OH 45409-2616 | 2009-03-05 |
| 1881834752 | Susan K Call | Registered Nurse | 1126 S Main St, Dayton, OH 45409-2616 | 2009-03-04 |
| 1790925667 | Devin C Bailey | Registered Nurse | 1126 S Main St, Dayton, OH 45409-2616 | 2009-03-04 |
| 1386775245 | Dayton Cardiology Consultants Inc | Specialist | 1126 S Main St, Dayton, OH 45409-2687 | 2007-03-09 |
| 1225082134 | Health Specialists of Dayton Inc | Internal Medicine | 1126 S Main St, Dayton, OH 45409-2687 | 2006-05-22 |
| 1972560662 | Syed Ashfaq Hussain Najeed | Internal Medicine | 1126 S Main St, Dayton, OH 45409-2616 | 2006-04-27 |
| 1376502500 | Mohamed F. Khan | Internal Medicine | 1126 S Main St, Dayton, OH 45409-2687 | 2006-03-17 |
| 1891754032 | Eileen A. Hart | Nurse Practitioner | 1126 S Main St, Dayton, OH 45409-2687 | 2006-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| 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 |
|---|---|---|---|---|
| 1053773838 | Dayton Springfield Heart and Vascular Medicine, LLC | Internal Medicine | 7111 N. Main St., Suite 50, Dayton, OH 45415-2558 | 2016-03-22 |
| 1306815808 | Ceferino J. Cata | Internal Medicine | 1126 S Main St, Dayton, OH 45409-2687 | 2006-03-16 |
| 1073513404 | Stephen P Young | Internal Medicine | 425 W Grand Ave, Ste. 1003, Dayton, OH 45405-4775 | 2005-07-28 |
| 1871592345 | Bal Krishna Srivastava | Internal Medicine | 5538 Philadelphia Dr Ste B, Dayton, OH 45415-3061 | 2005-07-18 |
| 1598764391 | Cardiology Specialists of Dayton Inc. | Internal Medicine | 4160 Little York Rd, Ste. 20, Dayton, OH 45414-5800 | 2005-07-14 |
| 1801891213 | Mohammad Anwarul Kabir | Internal Medicine | 7111 N Main St, Suite 50, Dayton, OH 45415-2565 | 2005-06-14 |
| 1760484943 | Hema Pandrangi | Internal Medicine | 122 Wyoming St, Dayton, OH 45409-2731 | 2005-06-01 |
| 1033111232 | Sudhakar Maraboyina | Internal Medicine | 1530 Needmore Rd, Ste 300, Dayton, OH 45414-3969 | 2005-06-01 |
| 1881696060 | Sameh N Khouzam | Internal Medicine | 4160 Little York Rd Ste 20, Dayton, OH 45414 | 2005-06-01 |
| 1164425443 | Abdelhamed I Abdelhamed | Internal Medicine | 9000 N Main St, Ste 101, Dayton, OH 45415-1180 | 2005-05-31 |
| Find all providers in DAYTON | ||||
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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.