Victorian Health LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.096373 Issued in OH

Legal business name

VICTORIAN HEALTH LLC

Practice address

3087 Westminster Dr
Unit 205
Beavercreek, OH 45431-8803

Phone

(305) 528-6689

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jenny Victoria Wariboko, MD

Title

Ceo

Phone

(305) 528-6689

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1306249008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3087 WESTMINSTER DR",
            "address_2": "UNIT 205",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454318803",
            "telephone_number": "305-528-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3087 WESTMINSTER DR",
            "address_2": "UNIT 205",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454318803",
            "telephone_number": "305-528-6689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIAN HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "WARIBOKO",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-528-6689",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.096373",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.096373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily J Vaught
• Jessica Vencill
• Christina Veness
• Veterans Affairs Medical Center
• Yoaira Victor-Suarez
• Justin Vinson, D.C.
• Nicole Viola
• Vision Service Corporation
• Vision Value
• Visualeyes, Inc.

• Internal Medicine Physician in Beavercreek, OH
• Providers in Beavercreek, 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 May 5, 2016; 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.