IndividualActive
Theodore Wymyslo, MD
NPI 1336106319 · Family Medicine Physician · Dayton, OH
Provider details
- NPI number
- 1336106319
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 35044999W (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Wyoming St
Dayton, OH 45409
Phone: (937) 208-2317
Fax: (937) 208-5140
Street-level locationGet directions
Mailing address
101 Wyoming St
Dayton, OH 45409
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.