NPIMap

Organization Active NPI

Medwell, LLC

  • Urgent Care Clinic/Center
  • Dayton, OH
National Provider Identifier
1780065243
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
35048194 Issued in OH
Legal business name
MEDWELL, LLC
Practice address
1435 Cincinnati St
Suite 100
Dayton, OH 45417-4614
Phone
(937) 449-0800
Fax
(937) 449-0881
NPI assigned
Jun 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Eugene E Imbrogno, M.D.
Title
Owner/President
Phone
(937) 449-0800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 35.048194 OH
Urgent Care Clinic/Center 261QU0200X 35048194 OH Primary

Addresses

Primary practice location

1435 Cincinnati St
Suite 100
Dayton, OH 45417-4614

Mailing address

1435 Cincinnati St
Suite 100
Dayton, OH 45417-4614
Phone (937) 449-0800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1780065243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 CINCINNATI ST",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454174614",
            "telephone_number": "937-449-0800",
            "fax_number": "937-449-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 CINCINNATI ST",
            "address_2": "SUITE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454174614",
            "telephone_number": "937-449-0800",
            "fax_number": "937-449-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "IMBROGNO",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "937-449-0800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "35.048194",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": "35048194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.