Organization Active NPI

Cherry Westgate Family Practice, Inc

  • Family Medicine Physician
  • Granville, OH
National Provider Identifier
1609869288
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHERRY WESTGATE FAMILY PRACTICE, INC
Practice address
2000 Newark Granville Rd
Suite 100
Granville, OH 43023-9135
Phone
(740) 587-0087
Fax
(740) 587-0084
NPI assigned
Aug 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Ms. Lora Ann Meikle, CMOM
Title
Office Manager
Phone
(740) 587-0087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2000 Newark Granville Rd
Suite 100
Granville, OH 43023-9135

Mailing address

2000 Newark Granville Rd
Suite 100
Granville, OH 43023-9135
Phone (740) 587-0087

Other identifiers 2

IdentifierTypeStateIssuer
0937071MedicaidOH
CG0047OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

2000 Newark Granville Rd
#1
Granville, OH 43023
Phone (740) 587-0087

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1609869288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NEWARK GRANVILLE RD",
            "address_2": "SUITE 100",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239135",
            "telephone_number": "740-587-0087",
            "fax_number": "740-587-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEWARK GRANVILLE RD",
            "address_2": "SUITE 100",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239135",
            "telephone_number": "740-587-0087",
            "fax_number": "740-587-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY WESTGATE FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "MEIKLE",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "740-587-0087",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMOM"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0937071",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG0047",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.