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COLONIAL CITY INTERNAL MEDICINE, INC.
NPI 1396769980
Internal Medicine in Mount Vernon, OH

Active since July 27, 2006
1661 VENTURE DR, SUITE A, MOUNT VERNON, OH 43050(740) 397-2915(740) 397-3870 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Colonial City Internal Medicine, Inc. NPPES

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

COLONIAL CITY INTERNAL MEDICINE, INC. (NPI 1396769980) is a healthcare organization registered as an internal medicine in Mount Vernon, Ohio and active in the NPI registry since July 2006. The organization lists Frederocl Charles Carroll, President, as its authorized official.

NPPES Registry Identity

NPI1396769980
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOLONIAL CITY INTERNAL MEDICINE, INC.
Location Address1661 VENTURE DR, SUITE AMount Vernon, OH 43050-8928
Mailing AddressPo Box 1124Mount Vernon, OH 43050-8124 · (740) 397-2975 · Fax (740) 397-3870
Phone(740) 397-2915
Fax(740) 397-3870
Organization SubpartNo
Authorized OfficialFrederocl Charles CarrollPresident · (740) 397-2915
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1396769980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 80624
Definition
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.
1661 VENTURE DR, Mount Vernon, OH 43050
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Group Practice 1

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

Other Providers at the Same Location NPPES

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

DR. ELIZABETH ELLEN KLENK MD
Internal Medicine
1661 VENTURE DR
MOUNT VERNON, OH 43050
Knox County (740) 397-2915

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 Colonial City Internal Medicine, Inc.'s NPI number?

The NPI number for Colonial City Internal Medicine, Inc. is 1396769980. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Colonial City Internal Medicine, Inc. located?

Colonial City Internal Medicine, Inc. is located at 1661 Venture Dr Suite A, Mount Vernon, OH 43050. The listed phone number is (740) 397-2915.

What is Colonial City Internal Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Colonial City Internal Medicine, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.