Westerville Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WESTERVILLE INTERNAL MEDICINE LLC

Practice address

484 County Line Rd W
Suite 200
Westerville, OH 43082-7080

Phone

(614) 891-8080

NPI assigned

Aug 21, 2006

Last updated

Oct 5, 2007By the provider in NPPES

Organization subpart

Yes

Parent organization

WESTERVILLE INTERNAL MEDICINEAs reported in NPPES

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

Authorized official

Name

Gwen Davis Wilson, RN

Title

Office Manager

Phone

(614) 891-8080

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Westerville Internal Medicine LLC

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laurie E Gossard, MD

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1639285117
  NPD (past)
• John B Krupko, MD

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1023124534
  NPD (past)
• Lyle Terrance Olson, M.D.

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1053373217
  NPD (past)
• Catherine O Spiess, MD

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1801907522
  NPD (past)
• Ian J Wilson, MD

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1760598239
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1649386194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W",
            "address_2": "SUITE 200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827080",
            "telephone_number": "614-891-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 COUNTY LINE RD W",
            "address_2": "SUITE 200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827080",
            "telephone_number": "614-891-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERVILLE INTERNAL MEDICINE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WESTERVILLE INTERNAL MEDICINE",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS WILSON",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-891-8080",
        "authorized_official_credential": "RN"
    },
    "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": "2445189",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Westerville Office Parkway Family Dentistry LLC
• Westerville Operator, LLC (Westerville Senior Living)
• Westerville Orthodontics, L.L.C.
• Westerville Orthopaedics, Inc.
• Westerville Pediatric Specialists, Inc. (Sunbury Mills Pediatrics)

• Internal Medicine Physician in Westerville, OH
• Providers in Westerville, 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 Oct 5, 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.