WESTERVILLE INTERNAL MEDICINE LLC (NPI# 1649386194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649386194 |
| Entity Type | Organization |
| Organization Name | WESTERVILLE INTERNAL MEDICINE LLC |
| Practice Address |
484 County Line Rd W Suite 200 Westerville OH 43082-7080 |
| Practice Telephone | 6148918080 |
| Mailing Telephone | 6148918080 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | GWEN DAVIS WILSON (OFFICE MANAGER) |
| Authorized Official Telephone | 6148918080 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | WESTERVILLE INTERNAL MEDICINE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2445189 | 05 |
| Street Address |
484 COUNTY LINE RD W SUITE 200 |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43082-7080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578564670 | Rajendra Patel | Internal Medicine | 484 County Line Rd W, Ste 240, Westerville, OH 43082-7080 | 2005-08-10 |
| 1780952424 | Olding Eye Care, LLC | Optometrist | 484 County Line Rd W, Suite 120, Westerville, OH 43082-7080 | 2011-12-08 |
| 1609018126 | Fries Eye Care, LLC | Optometrist | 484 County Line Rd W, Suite 120, Westerville, OH 43082-7080 | 2009-03-30 |
| 1790909851 | Capitol City Cardiology, Inc. | Internal Medicine | 484 County Line Rd W, Ste 240 & 1000, Westerville, OH 43082-7080 | 2007-04-12 |
| 1194853960 | King's Medical Imaging At Watermark LLC | Physiological Laboratory | 484 County Line Rd W, Suite 130, Westerville, OH 43082-7080 | 2007-03-01 |
| 1992844104 | Mary Lee Faeth | Dentist | 484 County Line Rd W, Suite #100, Westerville, OH 43082-7080 | 2007-02-05 |
| 1548211311 | Mount Carmel Health System | Clinic/Center | 484 County Line Rd W, Westerville, OH 43082-7080 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023501509 | Taylor Wucinich | Audiologist | 387 County Line Rd W Ste 116, Westerville, OH 43082 | 2018-06-11 |
| 1366940132 | Hogan Nicklaus Marshall | Specialist/Technologist | 7118 Mount Royal Ave, Westerville, OH 43082 | 2018-01-26 |
| 1356858450 | Margaret Adams | Chiropractor | 387 County Line Rd. W, 215, Westerville, OH 43082 | 2018-01-10 |
| 1326407701 | Heidi A. Stauffer Dds | Dentist | 124 County Line Rd W, Suite A, Westerville, OH 43082 | 2016-02-15 |
| 1629324553 | Mavis Asamoah | Licensed Practical Nurse | 5401 Country Meadow Ct, Westerville, OH 43082 | 2012-07-30 |
| 1326283698 | Amy Lyn Gosnell | Dermatology | 300 Polaris Pkwy Ste 3300, Westerville, OH 43082 | 2008-12-15 |
| 1215186705 | Molly Hauer | Nursing Facility/Intermediate Care Facility | 7017 Laver Ln, Westerville, OH 43082 | 2008-09-09 |
| 1013181205 | Tridia Hospice Care, Inc. | Hospice Care, Community Based | 110 Polaris Pkwy Ste 302, Westerville, OH 43082 | 2008-04-17 |
| 1174702070 | Kathryn J Watkins Younkin | Dentist | 450 Alkyre Run Dr, Suite 290, Westerville, OH 43082 | 2007-10-26 |
| 1033300900 | Audrey Jones | Student in an Organized Health Care Education/Training Program | 187 W. Schrock Rd, Children's Hospital Guidance Center, Westerville, OH 43082 | 2007-08-06 |
| Find all providers in zip 43082 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| 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 |
|---|---|---|---|---|
| 1619383734 | Jesse John Aromas Dion Jr. | Internal Medicine | 500 South Cleveland Ave, Westerville, OH 43081 | 2014-07-09 |
| 1790036770 | Ramachander Rao Eluri | Internal Medicine | 495 Cooper Rd Ste 414, Westerville, OH 43081-8723 | 2012-10-01 |
| 1972763852 | Sunil Nayyar | Internal Medicine | 387 County Line Rd W Ste 225, Westerville, OH 43082-6918 | 2008-06-13 |
| 1326232984 | Rajmony Pannu | Internal Medicine | 895 S State Street, Westerville, OH 43081-3345 | 2007-08-28 |
| 1821196783 | Lyle T Olson Md Inc | Internal Medicine | 659 Park Meadow Rd Ste J, Westerville, OH 43081-2879 | 2006-09-21 |
| 1326051632 | Herbert Allen Grodner | Internal Medicine | 158 Wetherby Lane, Westerville, OH 43081 | 2006-08-15 |
| 1053373217 | Lyle Terrance Olson | Internal Medicine | 659 Park Meadow Rd, Suite J, Westerville, OH 43081-2879 | 2006-04-04 |
| 1659359024 | Buckeye Inpatient Care, Inc. | Internal Medicine | 191 Juniper Ave, Westerville, OH 43081-5053 | 2006-01-05 |
| 1497732606 | John W Wulf | Internal Medicine | 655 Africa Rd, Westerville, OH 43082-9808 | 2005-12-29 |
| 1861479073 | Jonathan G Thorne | Internal Medicine | 285 W. Shrock Rd, Westerville, OH 43081 | 2005-12-29 |
| Find all providers in WESTERVILLE | ||||
| City | WESTERVILLE |
| Zip Code | 43082 |
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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.