Millersburg Clinic, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

350631710 Issued in OH

Legal business name

MILLERSBURG CLINIC, INC.

Practice address

5354 Township Road 336
Ste B
Millersburg, OH 44654

Phone

(330) 674-3434

Fax

(330) 674-3731

NPI assigned

Jun 15, 2006

Last updated

Jan 24, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Butros Latouf, MD

Title

MD

Phone

(330) 674-3434

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• Direct secure messaging: butroslatouf@mc.allscriptsdirect.net

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nassim Haddad, MD

  • Interventional Cardiology Physician
  • Scottsdale, AZ
  • NPI 1316060619
  NPD
• Andrea Gwendoline Eshelman, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • East Liverpool, OH
  • NPI 1689829137
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1215971643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5354 TOWNSHIP ROAD 336",
            "address_2": "STE B",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "44654",
            "telephone_number": "330-674-3434",
            "fax_number": "330-674-3731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 TOWNSHIP ROAD 336",
            "address_2": "STE B",
            "city": "MILLERSBURG",
            "state": "OH",
            "postal_code": "44654",
            "telephone_number": "330-674-3434",
            "fax_number": "330-674-3731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLERSBURG CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "LATOUF",
        "authorized_official_first_name": "BUTROS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "330-674-3434",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "350631710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091678",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa D Miller, RPH
• Monica Lynn Miller, RN
• Ramona Kay Miller
• Raquel Lee Miller, RN, IBCLC
• Rodney A Miller, M.D.
• Shelby Rose Montgomery
• Jennifer S Moore
• Maria Morris
• N M Sansait MD LLC
• Michael Lloyd Nippert, DDS MS

• Internal Medicine Physician in Millersburg, OH
• Providers in Millersburg, 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 Jan 24, 2019; 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.