Adult Geriatrics of Wooster, Inc.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

34074032K Issued in OH

Legal business name

ADULT GERIATRICS OF WOOSTER, INC.

Practice address

1761 Beall Ave
Suite 3C
Wooster, OH 44691-2342

Phone

(330) 345-5374

Fax

(330) 345-5814

NPI assigned

Mar 1, 2007

Last updated

Jan 21, 2015By 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

Mrs. Kimberly I Williams

Title

Office Manager

Phone

(330) 345-5374

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.

• Tai-CHI Kwok, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Wooster, OH
  • NPI 1407964315
  Medicare reassignment NPD
• Christine I Lee, D.O.

  • Nephrology Physician
  • Wooster, OH
  • NPI 1598870446
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1689702870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "address_2": "SUITE 3C",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-345-5374",
            "fax_number": "330-345-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "address_2": "SUITE 3C",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-345-5374",
            "fax_number": "330-345-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT GERIATRICS OF WOOSTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-345-5374",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "34074032K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antoni Adamrovich, NP
• Jill Adams
• Abdul Ade
• Hussein Abdikadir Aden
• Paula R. Adkins, MSW, LSW
• Advanced Physicial Medicine
• Aetna
• Affordable Healthcare Partners LLC (AHP Integrative Health)
• Affordable Healthcare Partners, LLC (AHP Integrative Health)
• Abigail Renee Ahrens

• Geriatric Medicine (Family Medicine) Physician in Wooster, OH
• Providers in Wooster, OH by specialty
• Geriatric Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.