Mid-Ohio Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5335813 Issued in OH

Legal business name

MID-OHIO INTERNAL MEDICINE, LLC

Practice address

6565 Worthington Galena Rd
Suite A207
Worthington, OH 43085-4076

Phone

(614) 802-2671

Fax

(614) 802-2673

NPI assigned

Dec 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Brian McClure, MD

Title

Physician

Phone

(614) 802-2671

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104994490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 WORTHINGTON GALENA RD",
            "address_2": "SUITE A207",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854076",
            "telephone_number": "614-802-2671",
            "fax_number": "614-802-2673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 WORTHINGTON GALENA RD",
            "address_2": "SUITE A207",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854076",
            "telephone_number": "614-802-2671",
            "fax_number": "614-802-2673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OHIO INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "614-802-2671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "5335813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Worthington, OH
• Providers in Worthington, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.