Active NPI
Midwest Internal Medicine Associates LLC
- Internal Medicine Physician
- Marion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35056082
- Legal business name
- MIDWEST INTERNAL MEDICINE ASSOCIATES LLC
- Practice address
- 1728 Marion Waldo Rd
Marion, OH 43302-7457 - Phone
- (740) 389-2297
- Fax
- (740) 389-2427
- NPI assigned
- Sep 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly S Ratliff
- Title
- Billing Cordinator
- Phone
- (740) 616-8052
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35056082 | OH | Primary |
Addresses
Primary practice location
1728 Marion Waldo Rd
Marion, OH 43302-7457
Mailing address
1728 Marion Waldo Rd
Marion, OH 43302-7457
Phone (740) 389-2297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2156143 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0330599 | Midwest Internal Medicine Associates | Certificate of waiver | Apr 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
970 S Prospect St
Marion, OH 43302
Phone (740) 382-9293
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Specialist
- Marion, OH
- NPI 1740634500
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Primary Care Nurse Practitioner
- Marion, OH
- NPI 1174315592
-
- Internal Medicine Physician
- Parma, OH
- NPI 1043896830
-
- Family Nurse Practitioner
- Marion, OH
- NPI 1396166989
-
- Family Medicine Physician
- Marion, OH
- NPI 1396953956
-
- Internal Medicine Physician
- Marion, OH
- NPI 1316929094
-
- Family Nurse Practitioner
- Marion, OH
- NPI 1619529922
-
- Physician Assistant
- Marion, OH
- NPI 1982177259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189123200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603929600000",
"number": "1003001538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1728 MARION WALDO RD",
"city": "MARION",
"state": "OH",
"postal_code": "433027457",
"telephone_number": "740-389-2297",
"fax_number": "740-389-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1728 MARION WALDO RD",
"city": "MARION",
"state": "OH",
"postal_code": "433027457",
"telephone_number": "740-389-2297",
"fax_number": "740-389-2427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST INTERNAL MEDICINE ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-07",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A",
"authorized_official_last_name": "RATLIFF",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "BILLING CORDINATOR",
"authorized_official_telephone_number": "740-616-8052",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35056082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2156143",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.