Internal Medicine of Centerville, LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

INTERNAL MEDICINE OF CENTERVILLE, LLC

Practice address

8002 McEwen Rd
Centerville, OH 45458-2033

Phone

(937) 681-9507

Fax

(937) 221-8242

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Glenn H Kluge, M.D.NPI 1932157658

Title

President

Phone

(937) 681-9507

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Glenn Herman Kluge, M.D.

  • Internal Medicine Physician
  • Dayton, OH
  • NPI 1932157658
  NPD Authorized official

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1265801195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 MCEWEN RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582033",
            "telephone_number": "937-681-9507",
            "fax_number": "937-221-8242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 MCEWEN RD",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454582033",
            "telephone_number": "937-681-9507",
            "fax_number": "937-221-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE OF CENTERVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "KLUGE",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-681-9507",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa A Hutson, LPTA
• Maureen O Igbinoba, N.P.
• Brent Wilson Imbody, MD
• Integrative Physical Medicine of Dayton
• Internal Medicine Care, Inc
• Interpreting Life Lessons Counseling Services LLC
• J Clarke Sanders DDS-Centerville LLC (Centerville Family Dental)
• J. Kilby Enterprises, Inc. (Ellie Mental Health)
• Jack E. King DDS Inc (King and Mayerson Orthodontics)
• Jack M. Harless LLC

• Addiction Medicine (Internal Medicine) Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Addiction Medicine (Internal Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.