PERRY G NYSTROM MD NPI 1083695886

NPI Information

NPI: 1083695886
Provider Name: PERRY G NYSTROM, MD
Classification: Internal Medicine - 207RC0200X
Specialization: Critical Care Medicine
Entity Type: Individual
Address: 4100 W 3RD ST
DAYTON, OH
ZIP 45428
Phone: (937) 268-6511

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NPI Details

Perry G Nystrom, MD is a critical care medicine internal medicine in Dayton, OH. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Perry G Nystrom, MD NPI is 1083695886. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4100 W 3RD ST
DAYTON, OH
ZIP 45428-000
Phone: (937) 268-6511
Fax: (937) 267-3917

The enumeration date for this NPI number is 11/9/2005 and was last updated on 12/17/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207L00000X	Anesthesiology		35062875	OHIO	No
2	207RP1001X	Internal Medicine	Pulmonary Disease	35062875	OHIO	No
3	207RC0200X	Internal Medicine	Critical Care Medicine	35062875	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F31283	MEDICARE UPIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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