Perry G Nystrom
Anesthesiologist Pulmonary Disease Critical Care Medicine
4100 W 3rd St
Dayton
, Ohio 45428-9000
Perry G Nystrom
Anesthesiologist Pulmonary Disease Critical Care Medicine
4100 W 3rd St
Dayton
, Ohio 45428-9000
(937) 267-3917
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About
Features
Specialties
- Anesthesiologist
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Perry G Nystrom
- 4100 W 3rd St
- Dayton, OH
- Zip : 45428-9000
- Fax : (937) 267-3917
- Phone : (937) 268-6511
Second Address
- Perry G Nystrom
- 4100 W 3rd St
- Dayton, OH
- Zip : 45428-9000
- Fax : (937) 267-3917
- Phone : (937) 268-6511
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207L00000X | Anesthesiologist | 35062875 | OH |
| Y | 207RC0200X | Critical Care Medicine | 35062875 | OH |
| N | 207RP1001X | Pulmonary Disease | 35062875 | OH |
National Provider Identifier
| NPI | 1083695886 |
|---|---|
| Provider Name | Perry G Nystrom |
| First Address | Dayton, OH 45428-9000 |
| Second Address | Dayton, OH 45428-9000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/11/2005 |
| Last Update Date | 17/12/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F31283 | (02) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.