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PERRY G NYSTROM MD
NPI 1083695886
Internal Medicine - Critical Care Medicine in Dayton, OH

Active since November 09, 2005
4100 W 3RD ST, DAYTON, OH 45428(937) 268-6511(937) 267-3917 Get Directions Write a Review

NPPES record last updated: December 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Perry G Nystrom Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERRY G NYSTROM MD (NPI 1083695886) is an individual critical care medicine provider in Dayton, Ohio, licensed in Ohio (35062875) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1083695886
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NamePERRY G NYSTROMCredential: MD
Location Address4100 W 3RD STDayton, OH 45428-9000
Mailing Address4100 W 3rd StDayton, OH 45428-9000 · (937) 268-6511 · Fax (937) 267-3917
Phone(937) 268-6511
Fax(937) 267-3917
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateDecember 17, 2013
✔ NPI 1083695886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in OH · 35062875
Definition
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.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 35062875 (OH)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 35062875 (OH)
4100 W 3RD ST, Dayton, OH 45428
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Other Identifiers 1

Medicare UPINF31283OH

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY JOANN MCMULLEN
Radiologic Technologist (Nuclear Medicine Technology)
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
MRS. JAIMIE LYNN FRAZIER PT, DPT
Physical Therapist
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
KATHLEEN A. ROWELL PA-C
Physician Assistant (Medical)
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
DR. DOUGLAS EDWARD PAULL M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 262-2150
LOUIS LONG CTRS
Recreation Therapist
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
JASON ANDRUS
Optometrist
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
KATHLEEN AVILA-JOHN LPMT
Music Therapist
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511
CESAR JUAN ROMAN DPM
Podiatrist (Foot & Ankle Surgery)
4100 W 3RD ST
DAYTON, OH 45428
Montgomery County (937) 268-6511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Perry Nystrom's NPI number?

The NPI number for Perry Nystrom is 1083695886. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Perry Nystrom located?

Perry Nystrom practices at 4100 W 3rd St, Dayton, OH 45428. The listed phone number is (937) 268-6511.

What is Perry Nystrom's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Perry Nystrom was last updated on December 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.