Organization Active NPI

Whetstone Medical Clinic of Millersport, Inc

  • Family Medicine Physician
  • Millersport, OH
National Provider Identifier
1407028061
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WHETSTONE MEDICAL CLINIC OF MILLERSPORT, INC
Practice address
12135 Lancaster St
Millersport, OH 43046-8063
Phone
(740) 467-2787
Fax
(740) 467-2450
NPI assigned
Mar 24, 2008
Last updated
Jun 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Authorized official

Name
Mrs. Vickie L. Dempsey
Title
Office Manager
Phone
(740) 467-2787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

12135 Lancaster St
Millersport, OH 43046-8063

Mailing address

PO Box 218
12135 Lancaster St.
Millersport, OH 43046
Phone (740) 467-2787

Other identifiers 1

IdentifierTypeStateIssuer
2014822MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1407028061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 218",
            "address_2": "12135 LANCASTER ST.",
            "city": "MILLERSPORT",
            "state": "OH",
            "postal_code": "43046",
            "telephone_number": "740-467-2787",
            "fax_number": "740-467-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12135 LANCASTER ST",
            "city": "MILLERSPORT",
            "state": "OH",
            "postal_code": "430468063",
            "telephone_number": "740-467-2787",
            "fax_number": "740-467-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHETSTONE MEDICAL CLINIC OF MILLERSPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-467-2787",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2014822",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.