MIDDLETOWN MEDICAL GROUP,INC.
NPI 1477533446
Internal Medicine in Middletown, OH

Q: What is Middletown Medical Group,inc.'s NPI number?

The NPI number for Middletown Medical Group,inc. is 1477533446. It was assigned to this organization in the NPPES registry on January 18, 2006.

Q: What is Middletown Medical Group,inc.'s specialty?

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

Active since January 18, 2006CLIA 36D0349614 · Waiver

200 N BREIEL BLVD, MIDDLETOWN, OH 45042(513) 424-2535(513) 424-0363 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Middletown Medical Group,inc. NPPES

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

MIDDLETOWN MEDICAL GROUP,INC. (NPI 1477533446) is a healthcare organization registered as an internal medicine in Middletown, Ohio and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through October 26, 2026 and lists Paul Russell Jennewine, President, as its authorized official.

NPPES Registry Identity

NPI1477533446

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameMIDDLETOWN MEDICAL GROUP,INC.

Location Address200 N BREIEL BLVDMiddletown, OH 45042-3808

Mailing Address6850 Sloebig RdMiddletown, OH 45042-9448 · (513) 424-2535 · Fax (513) 424-0363

Phone(513) 424-2535

Fax(513) 424-0363

Organization SubpartNo

Authorized OfficialPaul Russell JennewinePresident · (513) 424-2535

Enumeration DateJanuary 18, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1477533446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

200 N BREIEL BLVD, Middletown, OH 45042

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Other Identifiers 1

Medicaid2338625OH

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0349614

Middletown Medical Group Inc · Middletown, OH

Active · expires Oct 26, 2026

CLIA Number36D0349614

Laboratory TypePhysician Office

Certificate Effective DateOctober 27, 2024

Certificate Expiration DateOctober 26, 2026

Laboratory DirectorMarvin L. Ray

Laboratory Phone(513) 424-2535

Laboratory LocationMiddletown Medical Group Inc200 N Breiel Blvd, Middletown, OH 45042

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

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

KAITLYN ELIZABETH HOLIGA PA-C

Physician Assistant (Medical)