Active NPI
Carlene Westfall, MD
- Addiction Medicine (Internal Medicine) Physician
- College Corner, OH
National Provider Identifier
1548519614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 35.137242
- Practice address
- 10 Main St
College Corner, OH 45003-9061 - Phone
- (513) 834-7063
- Fax
- (513) 873-1567
- NPI assigned
- Sep 5, 2012
- Last updated
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 35.137242 | OH | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 45525 | KY |
Addresses
Primary practice location
10 Main St
College Corner, OH 45003-9061
Mailing address
PO Box 641
College Corner, OH 45003-0641
Phone (513) 436-6577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100230570 | Medicaid | KY |
Other names 1
- Carlene Denis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Addiction Medicine (Internal Medicine) Physician
- College Corner, OH
- NPI 1811661002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1548519614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 641",
"city": "COLLEGE CORNER",
"state": "OH",
"postal_code": "450030641",
"telephone_number": "513-436-6577",
"fax_number": "513-402-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MAIN ST",
"city": "COLLEGE CORNER",
"state": "OH",
"postal_code": "450039061",
"telephone_number": "513-834-7063",
"fax_number": "513-873-1567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTFALL",
"first_name": "CARLENE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "OH",
"license": "35.137242",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "KY",
"license": "45525",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100230570",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLENE",
"last_name": "DENIS",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in College Corner, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.