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.

NPI	1003001538 National Provider Indentifier (NPI) The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name	MIDWEST INTERNAL MEDICINE ASSOC.
Provider Location Address	1728 MARION WALDO RD MARION, OH 43302 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	1728 MARION WALDO RD MARION, OH 43302 Provider mailing address The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity Type	Organization Entity 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 What 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 Date	09-07-2007 Provider enumeration date The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date	11-26-2007 Last 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
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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 Code	207R00000X 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.
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.

Authorized Official

Authorized Official Name	MRS. KELLY S MCCOY Authorized 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 Title	BILLING 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
2156143	MEDICAID (05)	OH
9307811	MEDICARE 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 7 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 CLARK 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
1861798084	JESSICA L TOLAND PA-C Individual	Physician Assistant (Surgical Technologist)	1728 MARION WALDO RD MARION, OH 43302 (740) 389-2297