Community Internists, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COMMUNITY INTERNISTS, INC

Practice address

6555 Wilson Mills Rd
Suite 103
Mayfield Village, OH 44143-3435

Phone

(440) 442-8313

Fax

(440) 442-8316

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Loren S. Kendis, M.D.

Title

President

Phone

(440) 442-8313

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548216815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 WILSON MILLS RD",
            "address_2": "SUITE 103",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433435",
            "telephone_number": "440-442-8313",
            "fax_number": "440-442-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 WILSON MILLS RD",
            "address_2": "SUITE 103",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441433435",
            "telephone_number": "440-442-8313",
            "fax_number": "440-442-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY INTERNISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDIS",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-442-8313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442257",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.