NORTHPARKE INTERNAL MEDICINE LLC - NPI 1740206929 - Internal Medicine in Springfield, OH

Q: What is Northparke Internal Medicine LLC's NPI number?

The NPI number for Northparke Internal Medicine LLC is 1740206929. It was assigned to this organization in the NPPES registry on July 14, 2006.

Q: What is Northparke Internal Medicine LLC's specialty?

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

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About Northparke Internal Medicine Llc NPPES

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

NORTHPARKE INTERNAL MEDICINE LLC (NPI 1740206929) is a healthcare organization registered as an internal medicine in Springfield, Ohio and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Keith A Boor, Physician Coowner, as its authorized official.

NPPES Registry Identity

NPI1740206929

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameNORTHPARKE INTERNAL MEDICINE LLC

Location Address211 NORTHPARKE DRSpringfield, OH 45503

Mailing Address211 Northparke DrSpringfield, OH 45503 · (937) 390-1700 · Fax (937) 390-2471

Phone(937) 390-1700

Fax(937) 390-2471

Organization SubpartNo

Authorized OfficialKeith A BoorPhysician Coowner · (937) 390-1700

Enumeration DateJuly 14, 2006

Last NPPES UpdateMay 10, 2010

✔ NPI 1740206929 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.

211 NORTHPARKE DR, Springfield, OH 45503

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Other Identifiers 2

Medicaid0154658OH

Medicare ID-Type Unspecified0614732OH

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

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 36D0350387

Northparke Internal Medicine · Springfield, OH

Active · expires Sep 19, 2027

CLIA Number36D0350387

Laboratory TypePhysician Office

Certificate Effective DateSeptember 20, 2025

Certificate Expiration DateSeptember 19, 2027

Laboratory DirectorImtiaz S. Ahmed

Laboratory Phone(937) 390-1700

Laboratory LocationNorthparke Internal Medicine211 Northparke Drive, Springfield, OH 45503

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 7

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

DR. SANDY DANIELLE TURNER D.O.

Family Medicine