Elizabeth Ellen Klenk, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.080005 Issued in OH

Practice address

1661 Venture Dr
Mount Vernon, OH 43050-8928

Phone

(740) 397-2915

Fax

(740) 397-3870

NPI assigned

Apr 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, CA, FL, CO, PA, GA, NJ, NC, MI9 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 9

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Galion Community Hospital

  • Critical Access Hospital
  • Galion, OH
  • NPI 1215907522

  Internal Medicine

  Medicare reassignment NPD
• Live Life Now Health Group of California PC

  • Addiction Medicine (Family Medicine) Physician
  • Commerce, CA
  • NPI 1194332510
  Medicare reassignment NPD
• Live Life Now Health Group PA

  • Addiction Medicine (Family Medicine) Physician
  • Yonkers, NY
  • NPI 1770111429

  GA, MI, NC, OH, PA

  Medicare reassignment NPD
• Live Life Now Health Group of NJ PC

  • Addiction Medicine (Family Medicine) Physician
  • Mount Laurel, NJ
  • NPI 1215566393
  Medicare reassignment
• Galion Community Hospital

  • Pharmacy
  • Crestline, OH
  • NPI 1346061256
  NPD
• Mochi Medical Ca PC

  • Obesity Medicine (Family Medicine) Physician
  • San Francisco, CA
  • NPI 1174303374
  NPD (past)
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1194042432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 PORTLAND WAY SOUTH",
            "city": "GALION",
            "state": "OH",
            "postal_code": "44833",
            "telephone_number": "419-462-4544",
            "fax_number": "419-462-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 VENTURE DR",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508928",
            "telephone_number": "740-397-2915",
            "fax_number": "740-397-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLENK",
        "first_name": "ELIZABETH",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.080005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Gerard Killoran, PRS
• Brittany Kinser
• Kori L Kirkhope, APRN
• Melissa Renee Kirkpatrick
• Gabriela Kleman, FNP-C
• McKenna M Klodnick
• Alex M Kluemper, DMD, MS
• Knox Cardiology Associates, Inc.
• Knox Chiropractic & Wellness Center
• Knox Community Hospital

• Internal Medicine Physician in Mount Vernon, OH
• Providers in Mount Vernon, 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 Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.