Active NPI
Westerville Natural Medicine LLC
- Internal Medicine Physician
- Galena, OH
National Provider Identifier
1346410602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35083374
- Legal business name
- WESTERVILLE NATURAL MEDICINE LLC
- Practice address
- 3617 S Old 3C Hwy
Galena, OH 43021-9520 - Phone
- (614) 367-6061
- Fax
- (614) 706-5879
- NPI assigned
- Mar 3, 2008
- Last updated
- Oct 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Olga Pylaeva, MD
- Title
- Owner
- Phone
- (614) 445-7209
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35083374 | OH | Primary |
Addresses
Primary practice location
3617 S Old 3C Hwy
Galena, OH 43021-9520
Mailing address
3617 S Old 3C Hwy
Galena, OH 43021-9520
Phone (614) 367-6061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2873056 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
568 S Cleveland Ave
Ste C
Westerville, OH 43081
Phone (614) 898-4000
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Galena, OH
- NPI 1508811811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1346410602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 S OLD 3C HWY",
"city": "GALENA",
"state": "OH",
"postal_code": "430219520",
"telephone_number": "614-367-6061",
"fax_number": "614-706-5879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3617 S OLD 3C HWY",
"city": "GALENA",
"state": "OH",
"postal_code": "430219520",
"telephone_number": "614-367-6061",
"fax_number": "614-706-5879"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERVILLE NATURAL MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-03",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "PYLAEVA",
"authorized_official_first_name": "OLGA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-445-7209",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35083374",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2873056",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Galena, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.