Oberlin Internal Medicine Associates Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OBERLIN INTERNAL MEDICINE ASSOCIATES INC

Practice address

224 W Lorain St
Suite a
Oberlin, OH 44074

Phone

(440) 774-5248

Fax

(440) 774-6006

NPI assigned

Dec 15, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Donna A Jennings

Title

MGR

Phone

(440) 774-5248

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1417933136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 W LORAIN ST",
            "address_2": "STE A",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "44074",
            "telephone_number": "440-774-5248",
            "fax_number": "440-774-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 W LORAIN ST",
            "address_2": "SUITE A",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "44074",
            "telephone_number": "440-774-5248",
            "fax_number": "440-774-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBERLIN INTERNAL MEDICINE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-15",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "440-774-5248",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Oberlin, OH
• Providers in Oberlin, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.