Organization Active NPI

West Jefferson Internal Medicine

  • Primary Care Clinic/Center
  • West Jefferson, OH
National Provider Identifier
1649638826
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WEST JEFFERSON INTERNAL MEDICINE
Practice address
95 E Main St
West Jefferson, OH 43162-1205
Phone
(614) 879-7300
Fax
(614) 879-7151
NPI assigned
Feb 3, 2016
Last updated
Feb 3, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
URGENT CARE OF WEST JEFFERSONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Authorized official

Name
Dr. Eric Yoon, DNP
Title
Owner
Phone
(614) 879-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

95 E Main St
West Jefferson, OH 43162-1205

Mailing address

95 E Main St
West Jefferson, OH 43162-1205
Phone (614) 879-7300

National Provider Directory

National Provider Directory
Part of
Urgent Care of West Jefferson

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454457600000",
    "number": "1649638826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 E MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621205",
            "telephone_number": "614-879-7300",
            "fax_number": "614-879-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 E MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621205",
            "telephone_number": "614-879-7300",
            "fax_number": "614-879-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST JEFFERSON INTERNAL MEDICINE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "URGENT CARE OF WEST JEFFERSON",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-879-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jefferson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; 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.