| Internal Medicine Care, Inc | |
|
2633 Commons Blvd Ste 120 Beavercreek OH 45431-3827 | |
| (937) 429-0607 | |
| (937) 702-9041 |
| Full Name | Internal Medicine Care, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2633 Commons Blvd Ste 120, Beavercreek, Ohio |
| Authorized Official Name and Position | Troy A Tyner (PRESIDENT) |
| Authorized Official Contact | 9374290607 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine Care, Inc 2633 Commons Blvd Ste 120 Beavercreek OH 45431-3827 Ph: (937) 429-0607 | Internal Medicine Care, Inc 2633 Commons Blvd Ste 120 Beavercreek OH 45431-3827 Ph: (937) 429-0607 |
| NPI Number | 1508808098 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 10/27/2023 |
| Medicare PECOS PAC ID | 8527959113 |
|---|---|
| Medicare Enrollment ID | O20040323000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508808098 | NPI | - | NPPES |
| 0874693 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carla M Myers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770581951 PECOS PAC ID: 9739070335 Enrollment ID: I20040824000951 |
| Provider Name | Gregory S Volk |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780682229 PECOS PAC ID: 3173414778 Enrollment ID: I20100408000158 |
| Provider Name | Troy Alan Tyner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003814526 PECOS PAC ID: 5890686497 Enrollment ID: I20100610001083 |
| Provider Name | Ingrid M Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952309726 PECOS PAC ID: 2365520681 Enrollment ID: I20100617000291 |
| Provider Name | Rachel Marie Mast |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952552812 PECOS PAC ID: 4587834155 Enrollment ID: I20110909002523 |
| Provider Name | Justin D Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730595141 PECOS PAC ID: 3173847266 Enrollment ID: I20170602001742 |
| Provider Name | Joshua Pilkenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972043602 PECOS PAC ID: 2668740366 Enrollment ID: I20170621003030 |
| Provider Name | Opeyemi Gabriel Alli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770986465 PECOS PAC ID: 7911278122 Enrollment ID: I20170807002226 |
| Provider Name | Lindsey Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437682788 PECOS PAC ID: 9335411644 Enrollment ID: I20200713001459 |
| Provider Name | Rebecca J Helfrich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720214141 PECOS PAC ID: 9931352168 Enrollment ID: I20200924003323 |
| Provider Name | Jenna Mcconnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306450176 PECOS PAC ID: 2062803117 Enrollment ID: I20211227001293 |
| Provider Name | Thang Vu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750884110 PECOS PAC ID: 1254737810 Enrollment ID: I20230928003193 |
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