Mid Ohio Nephrology and Hypertension LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MID OHIO NEPHROLOGY AND HYPERTENSION LLC

Practice address

1910 Tamarack Rd
Newark, OH 43055-2303

Phone

(740) 788-8441

Fax

(740) 788-8451

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hintsa Atsbaha Tewoldemedhin, MD

Title

Owner

Phone

(740) 788-8441

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hintsa Tewoldemedin, MD

  • Nephrology Physician
  • Newark, OH
  • NPI 1033168554
  Medicare reassignment NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1770619348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-788-8441",
            "fax_number": "740-788-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 TAMARACK RD",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430552303",
            "telephone_number": "740-788-8441",
            "fax_number": "740-788-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID OHIO NEPHROLOGY AND HYPERTENSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "TEWOLDEMEDHIN",
        "authorized_official_first_name": "HINTSA",
        "authorized_official_middle_name": "ATSBAHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-788-8441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lucille Messina
• Sandra A. Messina, LCDCII, SWA
• Amy Louise Metcalf
• Christopher S Meyer, MD
• Sheryl Lynn Meyers
• Mid Ohio Neurology, Inc
• Sarah A Middaugh
• Tara Michelle Midkiff
• Midwest Allergy Associates, Inc.
• S Anne Miller-Cohen, CRNA

• Nephrology Physician in Newark, OH
• Providers in Newark, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.