Individual provider Active NPI

David M Uhall, M.D.

  • Internal Medicine Physician
  • Kent, OH
National Provider Identifier
1336127794
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35060826 Issued in OH
Practice address
307 W Main St Ste B
Kent, OH 44240-2400
Phone
(330) 678-7782
Fax
(330) 678-7301
NPI assigned
Jan 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35060826 OH Primary

Addresses

Primary practice location

307 W Main St Ste B
Kent, OH 44240-2400

Mailing address

307 W Main St Ste B
Kent, OH 44240-2400
Phone (330) 678-7782

Other identifiers 1

IdentifierTypeStateIssuer
0827001MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100112000008 OH Practitioner - Internal Medicine 2062306053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity Health Network LLCGroup PAC ID 0244379717, 59 clinicians

Practice addresses (Care Compare)

307 W Main St
Suite B
Kent, OH 44240-2400
Phone (330) 678-7782

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35060826OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Network, LLC Internal Medicine CurrentSince Dec 1, 2009 Accepting new patients
Unity Health Network, LLC CurrentSince Dec 1, 2009 Accepting new patients
Primary Care Assoc of N Internal Medicine Current Accepting new patients
Woodlands Healthcare Group, LLC Past Accepting new patients

Locations

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

3033 State Rd
Ste 204
Cuyahoga Fls, OH 44223
Phone (330) 253-9727

3033 State Rd
Ste 101
Cuyahoga Fls, OH 44223
Phone (330) 923-8372

307 W Main St
Ste B
Kent, OH 44240
Phone (330) 678-7782

307 W Main St
Kent, OH 44240
Phone (330) 673-7538

9150 Market Square Dr
Ste 201
Streetsboro, OH 44241
Phone (330) 422-9005

116 East Ave
Ste 3
Tallmadge, OH 44278
Phone (330) 633-7782

Interoperability endpoints

  • Direct secure messaging: david.uhall@wrhs.eclinicaldirectplus.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Woodlands Health and Rehabilitation CenterRavenna, OH, CCN 366127 Skilled nursing facility Adp of the SNF May 1, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1336127794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 W MAIN ST STE B",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402400",
            "telephone_number": "330-678-7782",
            "fax_number": "330-678-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 W MAIN ST STE B",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402400",
            "telephone_number": "330-678-7782",
            "fax_number": "330-678-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHALL",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35060826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0827001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.