CENTRAL OHIO GERIATRICS LLC (NPI# 1073753794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073753794 |
| Entity Type | Organization |
| Organization Name | CENTRAL OHIO GERIATRICS LLC |
| Practice Address |
590 Newark Granville Rd Granville OH 43023-1436 |
| Mailing Address |
Po Box 378 Granville OH 43023-0378 |
| Practice Telephone | 8885317444 |
| Practice Fax Number | 8885317444 |
| Mailing Telephone | 8885317444 |
| Mailing Fax Number | 8885317444 |
| Enumeration Date | 2009-02-21 |
| Last Update Date | 2019-07-30 |
| Authorized Official Name | DR. JOHN MARK WEIGAND (PRESIDENT) |
| Authorized Official Telephone | 8885317444 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
35-060271 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2968267 | 05 |
| Street Address |
590 NEWARK GRANVILLE RD |
| City | GRANVILLE |
| State | OH |
| Zip Code | 43023-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487621652 | Jonathan Hollister | Family Medicine | 590 Newark Granville Rd, Granville, OH 43023-1436 | 2006-03-07 |
| 1174061022 | Sue Maughmer | Nurse Practitioner | 590 Newark Granville Rd, Granville, OH 43023-1436 | 2017-02-10 |
| 1891140414 | Heidi Danielle Saunders | Massage Therapist | 590 Newark Granville Rd, Suite D, Granville, OH 43023-1436 | 2016-05-02 |
| 1124405915 | Tara Dillon | Nurse Practitioner | 590 Newark Granville Rd, Granville, OH 43023-1436 | 2015-04-30 |
| 1144626433 | Caryn Gorby | Nurse Practitioner | 590 Newark Granville Rd, Granville, OH 43023-1436 | 2014-11-13 |
| 1215345715 | Nicoletta Kristine Roeble | Nurse Practitioner | 590 Newark Granville Rd, Suite A, Granville, OH 43023-1436 | 2014-07-28 |
| 1174964605 | Ashley Swetnam | Nurse Practitioner | 590 Newark Granville Rd, Granville, OH 43023-1436 | 2013-07-12 |
| 1144594235 | Maija Bamford | Nurse Practitioner | 590 Newark Granville Rd, Granville, OH 43023-1436 | 2012-03-07 |
| 1205142270 | Amy J Klinger | Nurse Practitioner | 590 Newark Granville Rd, Granville, OH 43023-1436 | 2010-08-27 |
| 1083763627 | Katherine L. Montanaro | Nurse Practitioner | 590 Newark Granville Rd, Granville, OH 43023-1436 | 2007-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114562543 | Healing Horizons Professional Counseling LLC | Counselor | 927 River Road, Granville, OH 43023 | 2019-11-08 |
| 1376109892 | Kadian Samantha Miracle | Psychologist | 100 West College Street, Whisler Hall, Granville, OH 43023 | 2019-05-10 |
| 1710331715 | Navin Muni | Family Medicine | 1264 Weaver Drive, Granville, OH 43023 | 2016-04-16 |
| 1316335268 | Derek Fry | Specialist/Technologist | 200 Livingston Dr, Granville, OH 43023 | 2014-12-30 |
| 1174880850 | Granville Township Trustees | Ambulance | 500 S. Main Street, Granville, OH 43023 | 2012-04-18 |
| 1700022639 | Mid-ohio Counseling, LLC | Community/Behavioral Health | 905a River Road, Granville, OH 43023 | 2008-12-24 |
| 1578718540 | Perry Franklin Watson IIi | Chiropractor | 119 South Prospect Street, Granville, OH 43023 | 2008-11-18 |
| 1053524611 | Eric Ross Winters | Specialist/Technologist | 200 Livingston Way, Denison University Department of Physical Education, Granville, OH 43023 | 2007-05-08 |
| 1699988659 | Lakeesha Nicole Leonard | Specialist/Technologist | Denison University Physical Education Department, 200 Livingston Dr, Granville, OH 43023 | 2007-05-07 |
| 1447386537 | Christopher D Avery | Dentist | 127 South Prospect St, Granville, OH 43023 | 2007-02-26 |
| Find all providers in zip 43023 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298119 | Np Insight | Internal Medicine | 4996 Pigeon Run Rd Sw, Navarre, OH 44662-8123 | 2020-06-01 |
| 1164082764 | Phoenix Help LLC | Internal Medicine | 7215 Winding Way, Cincinnati, OH 45236-3340 | 2019-06-17 |
| 1790343846 | Geriatric Care Providers Inc | Internal Medicine | 2605 Greenbrier Ct, Beavercreek, OH 45431-8564 | 2019-06-04 |
| 1538698568 | David John Donofrio | Internal Medicine | 6427 Stonecrest Dr, Brookpark, OH 44142-3767 | 2017-06-04 |
| 1346690757 | Detroit 74th Medical Clinic Inc | Internal Medicine | 4805 Lorain Ave, Cleveland, OH 44102-3351 | 2016-06-16 |
| 1245610179 | Sarah Hyun Hong Min | Internal Medicine | 2355 Norwood Ave Ste 1, Cincinnati, OH 45212-2750 | 2015-06-05 |
| 1326434127 | Hiba Khan | Internal Medicine | 1950 E 89th Street, Cleveland, OH 44195-1003 | 2015-04-09 |
| 1184927287 | Range Health Care Services LLC | Internal Medicine | 4875 Union Rd, Franklin, OH 45005-5127 | 2010-12-10 |
| 1366622623 | Peter Dillard Md Inc | Internal Medicine | 3237 Ormond Rd, Cleveland Heights, OH 44118-3415 | 2007-11-05 |
| 1427261692 | Preeti Betkerur | Internal Medicine | 75th Arch St, Suite G 2, Akron, OH 44304 | 2007-05-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.