City of Washington Internal Medicine, L.L.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35076874 Issued in OH

Legal business name

CITY OF WASHINGTON INTERNAL MEDICINE, L.L.C.

Practice address

1450 Columbus Ave
Suite 201
Washington Court House, OH 43160-3701

Phone

(740) 333-6463

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Mark W. Hodges, M.D.

Title

Owner

Phone

(740) 333-6463

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1780870097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 COLUMBUS AVE",
            "address_2": "SUITE 201",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603701",
            "telephone_number": "740-333-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 COLUMBUS AVE",
            "address_2": "SUITE 201",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431603701",
            "telephone_number": "740-333-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF WASHINGTON INTERNAL MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-333-6463",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35076874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2883018",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarkio Miles Chester, PT
• Chiropractic Health and Wellness Center, Inc
• Mary Elizabeth Chrisman
• Minda Jo Chrisman, CDCA
• Christine R Wall DDS and Gregory J Wall DDS LTD
• Danielle Claar, RN
• Randy Lee Clouser
• Francesca Cocchiarale, DO
• Taylor Ann Cockerill
• Whitney Jane Cockerill, APRN

• Internal Medicine Physician in Washington Court House, OH
• Providers in Washington Court House, 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 Mar 18, 2009; 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.