Organization
THE DAYTON HEART CENTER, INC.
Active
Parent organization
THE DAYTON HEART CENTER, INC.
Other names
The Dayton Heart Center/Beavercreek
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE DAYTON HEART CENTER, INC.
Authorized official
MR. RONNY E. SHUMAKER (EXECUTIVE DIRECTOR)
(937) 276-8506
Entity
Organization
Contact information
Practice address
2510 COMMONS BLVD, SUITE 125, BEAVERCREEK, OH 45431-3820
(937) 320-0630
Mailing address
1530 NEEDMORE RD, 3RD FLOOR, DAYTON, OH 45414-3969
(937) 277-4274
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9919881
MEDICARE PTAN
—
Enumeration date
10/03/2011
Last updated
10/03/2011
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