MIDWEST INTERNAL MEDICINE ASSOC. NPI 1003001538

Internal Medicine in Marion, OH

About MIDWEST INTERNAL MEDICINE ASSOC.

Midwest Internal Medicine Assoc. is a provider in Marion, OH. The NPI number assigned to this provider is 1003001538. The practitioner's primary taxonomy code is Internal Medicine (207R00000X). The provider is registered as an organization and their NPI record was last updated 10 years ago. Midwest Internal Medicine Assoc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization.

NPI1003001538 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMIDWEST INTERNAL MEDICINE ASSOC.
Provider Location Address1728 MARION WALDO RD MARION, OH 43302 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1728 MARION WALDO RD MARION, OH 43302 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date09-07-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date11-26-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MIDWEST INTERNAL MEDICINE ASSOC.
1728 MARION WALDO RD
MARION, OH
ZIP 43302
Phone: (740) 389-2297
Fax: (740) 389-2427
Get Directions

Mailing Address

MIDWEST INTERNAL MEDICINE ASSOC.
1728 MARION WALDO RD
MARION, OH
ZIP 43302
Phone: (740) 389-2297
Fax: (740) 389-2427

Primary Taxonomy

Taxonomy Code207R00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.35056082
License StateOH
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Authorized Official

Authorized Official NameMRS. KELLY S MCCOY Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleBILLING CORDINATOR
Authorized Official Phone(740) 389-2297

193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2156143MEDICAID (05)OH
9307811MEDICARE PIN (08)OH

Map Location


MIDWEST INTERNAL MEDICINE ASSOC. address is 1728 MARION WALDO RD MARION, OH 43302

Other Providers at the same location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194735738DR. JESSE BLAKE KELLUM JR. M.D.
Individual
Psychiatry & Neurology (Neurology)1728 MARION WALDO RD SUITE B
MARION, OH 43302
(740) 725-8300
1295108363 JULIA CLARK
Individual
Physician Assistant (Medical)1728 MARION WALDO RD
MARION, OH 43302
(740) 389-2297
1316929094DR. CHANDER ARORA M.D.
Individual
Internal Medicine1728 MARION WALDO RD
MARION, OH 43302
(740) 389-2297
1437330388MARION AREA NEUROLOGICAL CONSULTING
Organization
Specialist1728 MARION WALDO RD SUITE B
MARION, OH 43302
(740) 725-8300
1831249382 CHRISTI GIERHART PAC
Individual
Physician Assistant1728 MARION WALDO RD
MARION, OH 43302
(740) 389-2297
1861798084 JESSICA L TOLAND PA-C
Individual
Physician Assistant (Surgical Technologist)1728 MARION WALDO RD
MARION, OH 43302
(740) 389-2297