MIDWEST INTERNAL MEDICINE ASSOC. NPI 1003001538
Internal Medicine in Marion, OH
About MIDWEST INTERNAL MEDICINE ASSOC.
Midwest Internal Medicine Assoc. is a provider established in Marion, Ohio specializing in internal medicine. The NPI number of Midwest Internal Medicine Assoc. is 1003001538 and was assigned on September 2007. The practitioner's primary taxonomy code is 207R00000X with license number 35056082 (OH). The provider is registered as an organization and their NPI record was last updated 13 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. The authorized official of this NPI record is Mrs. Kelly S Mccoy (Billing Cordinator)
| NPI | 1003001538 |
| Provider Name | MIDWEST INTERNAL MEDICINE ASSOC. |
| Provider Location Address | 1728 MARION WALDO RD MARION, OH 43302 |
| Provider Mailing Address | 1728 MARION WALDO RD MARION, OH 43302 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 09-07-2007 |
| Last Update Date | 11-26-2007 |
Primary Taxonomy
| Taxonomy Code | 207R00000X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| License No. | 35056082 |
| License State | OH |
| Taxonomy Description | A 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. |
Business Address
MIDWEST INTERNAL MEDICINE ASSOC.
1728 MARION WALDO RD
MARION, OH
ZIP 43302
Phone: (740) 389-2297
Fax: (740) 389-2427
Mailing Address
MIDWEST INTERNAL MEDICINE ASSOC.
1728 MARION WALDO RD
MARION, OH
ZIP 43302
Phone: (740) 389-2297
Fax: (740) 389-2427
Group Taxonomy
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 |
|---|---|---|
| 2156143 | MEDICAID (05) | OH |
| 9307811 | MEDICARE PIN (08) | OH |
Other Providers at the same location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1194735738 | DR. JESSE BLAKE KELLUM JR. M.D. Individual | Psychiatry & Neurology (Neurology) | 1728 MARION WALDO RD SUITE B MARION, OH 43302 (740) 725-8300 |
| 1275038077 | JACLYN V MORSELLI PA Individual | Internal Medicine | 1728 MARION WALDO RD MARION, OH 43302 (740) 389-2297 |
| 1295108363 | JULIA PETRAITIS Individual | Physician Assistant (Medical) | 1728 MARION WALDO RD MARION, OH 43302 (740) 389-2297 |
| 1316929094 | DR. CHANDER ARORA M.D. Individual | Internal Medicine | 1728 MARION WALDO RD MARION, OH 43302 (740) 389-2297 |
| 1437330388 | MARION AREA NEUROLOGICAL CONSULTING Organization | Specialist | 1728 MARION WALDO RD SUITE B MARION, OH 43302 (740) 725-8300 |
| 1831249382 | CHRISTI GIERHART PAC Individual | Physician Assistant | 1728 MARION WALDO RD MARION, OH 43302 (740) 389-2297 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider 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 Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type 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)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart 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.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary 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.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.