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GREAT HEALTH MEDICAL OH INC
NPI 1104630912
Family Medicine in Wooster, OH

Active since February 03, 2025
1552 N HONEYTOWN RD, WOOSTER, OH 44691(718) 470-0288 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2025, Feb 3, 2025 (2 updates tracked since 2025).

About Great Health Medical Oh Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREAT HEALTH MEDICAL OH INC (NPI 1104630912) is a healthcare organization registered as a family medicine in Wooster, Ohio and active in the NPI registry since February 2025. The organization lists Azlan Tariq, Owner, as its authorized official.

NPPES Registry Identity

NPI1104630912
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREAT HEALTH MEDICAL OH INC
Location Address1552 N HONEYTOWN RDWooster, OH 44691-9511
Mailing Address407 Willoughby AveBrooklyn, NY 11205-4590
Phone(718) 470-0288
Organization SubpartNo
Authorized OfficialAzlan TariqOwner · (312) 709-7238
Enumeration DateFebruary 3, 2025
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1104630912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1552 N HONEYTOWN RD, Wooster, OH 44691
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROGRESSIVE PINES LLC
Clinical Medical Laboratory
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Wayne County (330) 264-0912
PROGRESSIVE PINES, LLC
Skilled Nursing Facility
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Wayne County (216) 661-6800
WOOSTER SNF OPCO LLC
Skilled Nursing Facility
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Wayne County (330) 264-0912
MRS. JESSICA MARIE HOSTETLER LPN
Licensed Practical Nurse
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Wayne County (330) 264-0912
AMBER LEA JOHNS LPN
Licensed Practical Nurse
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Wayne County (330) 264-0912
GLENDORA DIVINE OPCO LLC
Skilled Nursing Facility
1552 N HONEYTOWN RD
WOOSTER, OH 44691
Wayne County (330) 620-7828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Great Health Medical Oh Inc's NPI number?

The NPI number for Great Health Medical Oh Inc is 1104630912. It was assigned to this organization in the NPPES registry on February 3, 2025.

Where is Great Health Medical Oh Inc located?

Great Health Medical Oh Inc is located at 1552 N Honeytown Rd, Wooster, OH 44691. The listed phone number is (718) 470-0288.

What is Great Health Medical Oh Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Great Health Medical Oh Inc was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.