West Jefferson Family Practice Inc
Organization Active NPI Family Medicine Physician · West Jefferson, OH
NPI 1508991001 · NPPES record last updated Oct 17, 2007
Key facts
- NPI
- 1508991001
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- WEST JEFFERSON FAMILY PRACTICE INC
- Practice address
- 2 E Main St
West Jefferson, OH 43162-1202 - Phone
- (614) 879-6770
- Fax
- (614) 879-7067
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark W Garwood, DO
- Title
- Owner Physican
- Phone
- (614) 879-6770
Practitioners 1
-
Mark W Garwood, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051219000265 | OH | Part B Supplier - Clinic/Group Practice | 5698796654 |
Receives reassigned benefits from 1 practitioner Practice locations: West Jefferson, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
2 E Main St
West Jefferson, OH 43162-1202
Mailing address
2 E Main St
West Jefferson, OH 43162-1202
Phone (614) 879-6770
Other providers in West Jefferson, OH
- Jennifer Lynn Warner
- Gerald M Weissman
- Samuel David Weller
- Anne Wertz
- West Jefferson Druggist LLC
- West Jefferson Internal Medicine
- West Jefferson Internal Medicine
- West Jefferson Opco, LLC
- West Jefferson Urgent Care
- Paul Westervelt
All providers in West Jefferson, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.