Doctors Primary Care - Mill Run, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOCTORS PRIMARY CARE - MILL RUN, INC.

Practice address

3535 Fishinger Blvd
Suite 150
Hilliard, OH 43026-7504

Phone

(614) 777-9250

Fax

(614) 777-9256

NPI assigned

Aug 28, 2006

Organization subpart

No

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

Authorized official

Name

Robert Straveler

Title

Office Manager

Phone

(614) 218-9413

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Corbett Dewalt, D.O.

  • Family Medicine Physician
  • Hilliard, OH
  • NPI 1821106014
  NPD (past)
• Mark Andrew Dewalt, DO

  • Family Medicine Physician
  • Hilliard, OH
  • NPI 1497724918
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164530234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73784",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002",
            "telephone_number": "727-287-6300",
            "fax_number": "727-287-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 FISHINGER BLVD",
            "address_2": "SUITE 150",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267504",
            "telephone_number": "614-777-9250",
            "fax_number": "614-777-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS PRIMARY CARE - MILL RUN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STRAVELER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-218-9413"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2637034",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Discount Drug Mart Inc
• John M Divelbiss, D.C.
• Brian T. DO, MSN, APRN, FNP-BC
• Courtney Dobson, MSW, LISW
• Doctors Primary Care - Hilliard, Inc
• Christina F Doelling, MS CC-SLP
• Rylee Jolene Doherty, LPCC
• Thomas Donahue, D.C.
• Catherine Donatelli
• Rebecca L Donnally, CNP

• Family Medicine Physician in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Family 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.