Walden Ponds Medical Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35081138A Issued in OH

Legal business name

WALDEN PONDS MEDICAL CARE LLC

Practice address

5964 Golf Club LN
Hamilton, OH 45011-8224

Phone

(513) 893-1100

Fax

(513) 893-1128

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Shawna M Helton

Title

Office Manager

Phone

(513) 893-1100

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1508037847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5964 GOLF CLUB LN",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450118224",
            "telephone_number": "513-893-1100",
            "fax_number": "513-893-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5964 GOLF CLUB LN",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450118224",
            "telephone_number": "513-893-1100",
            "fax_number": "513-893-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALDEN PONDS MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "HELTON",
        "authorized_official_first_name": "SHAWNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "513-893-1100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35081138A",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35081138A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35081138A",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Hamilton, OH
• Providers in Hamilton, 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 Jan 27, 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.