Wayne Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35077131 Issued in OH

Legal business name

WAYNE INTERNAL MEDICINE

Practice address

128 East Milltown Road
Suite 101
Wooster, OH 44691-6109

Phone

(330) 262-1700

Fax

(330) 345-8980

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Osama Mitri, MDNPI 1174532071

Title

President

Phone

(330) 262-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Osama Mitri

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1174532071
  NPD (past) Authorized official

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194048000000",
    "number": "1316126576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446917083",
            "telephone_number": "330-262-1700",
            "fax_number": "330-345-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 EAST MILLTOWN ROAD",
            "address_2": "SUITE 101",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446916109",
            "telephone_number": "330-262-1700",
            "fax_number": "330-345-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2007-11-03",
        "status": "A",
        "authorized_official_last_name": "MITRI",
        "authorized_official_first_name": "OSAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-262-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35077131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000279626",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne County Auditor
• Wayne County BD of Mental Retardation and Development Disabilities
• Wayne County Board of DD
• Wayne County Health Department
• Wayne Health Services & Supplies, Inc.
• Wayne Manor, Inc
• Carina Weaver
• Crystal June Weaver
• Hannah Faith Weaver, LSW
• Mark T. Weaver, LPCC-S

• Internal Medicine Physician in Wooster, OH
• Providers in Wooster, 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 Nov 3, 2007; 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.