Organization Active NPI

Grove City Internal Medicine

  • Internal Medicine Physician
  • Grove City, OH
National Provider Identifier
1407909385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52244 Issued in OH
Legal business name
GROVE CITY INTERNAL MEDICINE
Practice address
3055 Columbus St
Grove City, OH 43123-2751
Phone
(614) 875-9900
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel J Wendorff, M.D.NPI 1891756383
Title
Partner
Phone
(614) 875-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 52244 OH Primary

Addresses

Primary practice location

3055 Columbus St
Grove City, OH 43123-2751

Mailing address

3055 Columbus St
Grove City, OH 43123-2751
Phone (614) 875-9900

National Provider Directory

National Provider Directory

Locations

3035 Columbus St
Grove City, OH 43123
Phone (614) 875-9900

Practitioners & affiliated clinicians

Practitioners 2

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407909385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 COLUMBUS ST",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232751",
            "telephone_number": "614-875-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 COLUMBUS ST",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232751",
            "telephone_number": "614-875-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROVE CITY INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WENDORFF",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "614-875-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "52244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.