Internal Medicine Clinic, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35077256 Issued in OH

Legal business name

INTERNAL MEDICINE CLINIC, LTD

Practice address

335 Oxford St Ste C
Dover, OH 44622-1970

Phone

(330) 364-7551

Fax

(330) 364-7553

NPI assigned

Oct 5, 2006

Last updated

Jan 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Nancy J Austin

Title

Office Manager

Phone

(330) 364-7551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Maaz Ahmed, MD

  • Internal Medicine Physician
  • Dover, OH
  • NPI 1336165133
  Medicare reassignment Care Compare group NPD
• Sumayya Ahmed, MD

  • Internal Medicine Physician
  • Dover, OH
  • NPI 1467450346
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1659467512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 OXFORD ST",
            "address_2": "SUITE C",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221970",
            "telephone_number": "330-364-7551",
            "fax_number": "330-364-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 OXFORD ST STE C",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446221970",
            "telephone_number": "330-364-7551",
            "fax_number": "330-364-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-364-7551",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35077256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Hursey-Avon, LPC, LSW
• Lacy Iberis
• Carron Ickes, LSW, CDCA
• Nicholas Scott Immel, DPT
• Anthony Joseph Incarnato Sr., M.A.
• Michele Gabriello Ionno, DPT, MS
• Kaylie Irwin
• J and M Mentoring
• Jessica Jo Jackson
• Molli Lyn Jacobs, RN

• Internal Medicine Physician in Dover, OH
• Providers in Dover, 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 Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.