Organization Active NPI

Westerville Natural Medicine LLC

  • Internal Medicine Physician
  • Galena, OH
National Provider Identifier
1346410602
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35083374 Issued in OH
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Authorized official

Name
Olga Pylaeva, MDNPI 1508811811
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2873056MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080630000199 OH Part B Supplier - Clinic/Group Practice 5193897569 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.