Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1801219548 Individual Practitioner Male Practitioner

Andrew Michael Bacon , MS, AT, ATC

Specialist • Dayton, OH

Professional Overview & Biography Verified Profile Summary

Andrew Bacon, MS, AT, ATC is a registered healthcare professional specializing in Specialist in Dayton, OH. Practice services are available at 300 COLLEGE PARK CRONIN ATHLETIC CENTER ROOM 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 College Park Cronin Athletic Center Room 101

Dayton, OH 454690001

Telephone 9515414697
Fax 9372295448

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Dayton, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.7 Yrs
State Avg: 37.3 Yrs
Regional Practice Density
55 Specialists

Practicing in Dayton, OH (1444 Statewide)

Telehealth Adoption Rate
1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-01-05
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OH 004263

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID National Athletic Trainers' Association Board Of Certifiaction
2000007147

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Nathanael Seymour , ATC, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1366460313

Certified Athletic Trainer, Certified Strength and Conditioning Specialist

Kristin Tritt , MS, AT, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1487041547

Master of Science, AT, Certified Strength and Conditioning Specialist

Mitchell Deyhle , ATC

Specialist/Technologist - Athletic Trainer

NPI 1588062384

Certified Athletic Trainer

Rachel Torres , MS, ATC

Specialist/Technologist - Athletic Trainer

NPI 1619463080

Master of Science, Certified Athletic Trainer

Alberto Wawrzyniak , ATC

Specialist/Technologist - Athletic Trainer

NPI 1801369343

Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location January 05, 2022

Registered at 300 COLLEGE PARK CRONIN ATHLETIC CENTER ROOM 101, DAYTON, OH 454690001 (Tel: 9515414697)

📍
Updated Business Mailing Address December 13, 2021

Registered at 300 COLLEGE PARK CRONIN ATHLETIC CENTER ROOM 101, DAYTON, OH 454690001 (Tel: 9515414697)

👤
Provider Name / Credentials Updated December 13, 2021

Recorded as ANDREW BACON, MS, AT, ATC

📍
Updated Practice Location October 05, 2018

Registered at 33 E COLLEGE ST, HILLSDALE, MI 492421205 (Tel: 5176073154)

📍
Updated Business Mailing Address October 05, 2018

Registered at 33 E COLLEGE ST, HILLSDALE, MI 492421298 (Tel: 5176073154)

👤
Provider Name / Credentials Updated October 05, 2018

Recorded as ANDREW BACON, MS, AT, ATC, FMT

NPI Profile Active February 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2014

Registered at 701 N CLINTON ST, DEFIANCE, OH 435121610 (Tel: 4197832433)

📍
Updated Business Mailing Address February 03, 2014

Registered at 701 N CLINTON ST, DEFIANCE, OH 435121610 (Tel: 4197832433)

👤
Provider Name / Credentials Updated February 03, 2014

Recorded as ANDREW BACON, MS, AT, ATC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2014

Specialist (License #004263 in OH)

🟢
Initial NPI Registration & Enumeration January 31, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Andrew Bacon. Be the first to share your experience!

Sign in to leave a review for Andrew Bacon

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1801219548
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2014
Last Update: January 05, 2022
Sole Proprietor: No

Mailing Address

300 College Park Cronin Athletic Center Room 101

Dayton, OH 454690001

Phone: 9515414697

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.