Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Perry G Nystrom, MD

Individual provider Anesthesiology Physician · NPI 1083695886

Perry G Nystrom, MD is an Anesthesiology Physician in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2005.

Licensed in
OH
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4100 W 3rd St
Dayton, OH 45428-9000
Phone: (937) 268-6511
Fax: (937) 267-3917
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Medicine (Internal Medicine) Physician (primary) Taxonomy 207RC0200X · Licence 35062875 (OH)
Anesthesiology Physician Taxonomy 207L00000X · Licence 35062875 (OH)
Pulmonary Disease Physician Taxonomy 207RP1001X · Licence 35062875 (OH)

Record details

NPI number1083695886
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 9, 2005
Last updated in NPPESDecember 17, 2013
Mailing address4100 W 3rd St, Dayton, OH 45428-9000

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