Darke County Internal Medicine-Pediatrics, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35069759 Issued in OH

Legal business name

DARKE COUNTY INTERNAL MEDICINE-PEDIATRICS, INC.

Practice address

130 West Martz Street
Suite 1
Greenville, OH 45331

Phone

(937) 548-3868

NPI assigned

Apr 18, 2007

Last updated

Aug 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Lynne Hawley, MD

Title

Owner

Phone

(937) 548-3868

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1528285103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WEST MARTZ STREET",
            "address_2": "SUITE 1",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "45331",
            "telephone_number": "937-548-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WEST MARTZ STREET",
            "address_2": "SUITE 1",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "45331",
            "telephone_number": "937-548-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARKE COUNTY INTERNAL MEDICINE-PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "HAWLEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-548-3868",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35069759",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35069759",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012253",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eeman Dajani, B.D.S M.S ( DDS)
• Taylor Kae Daniels
• Cynthia M Dapore, RPH
• Darke County Board of DD
• Darke County General Health District
• Darke County Mental Health Clinic
• Darke County Mental Health Clinic, Inc
• Darke County Obstetrics and Gynecology (Darke County Ob/Gyn, Women's Care)
• Darke County Recovery Services
• Darke County Recovery Services (Recovery & Wellness Centers of Midwest Ohio)

• Internal Medicine Physician in Greenville, OH
• Providers in Greenville, 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 Aug 13, 2007; 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.