Organization Active NPI

Middletown Complete Health Center Inc

  • Internal Medicine Physician
  • Middletown, OH
National Provider Identifier
1205256161
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIDDLETOWN COMPLETE HEALTH CENTER INC
Practice address
2714 N Verity Pkwy
Middletown, OH 45042-2408
Phone
(513) 217-7676
Fax
(513) 217-7923
NPI assigned
Apr 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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

Authorized official

Name
Brian JohnsonNPI 1003912478
Title
Owner
Phone
(513) 217-7676

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2714 N Verity Pkwy
Middletown, OH 45042-2408

Mailing address

2714 N Verity Pkwy
Middletown, OH 45042-2408
Phone (513) 217-7676

National Provider Directory

National Provider Directory

Locations

2714 N Verity Pkwy
Middletown, OH 45042
Phone (513) 217-7676

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1205256161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 N VERITY PKWY",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450422408",
            "telephone_number": "513-217-7676",
            "fax_number": "513-217-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 N VERITY PKWY",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450422408",
            "telephone_number": "513-217-7676",
            "fax_number": "513-217-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN COMPLETE HEALTH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-217-7676"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.