NPIMap

Organization Active NPI

Upper Valley Professional Corporation

Doing business as Internal Medicine Group

  • Internal Medicine Physician
  • Troy, OH
National Provider Identifier
1811096951
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UPPER VALLEY PROFESSIONAL CORPORATION
Doing business as
Internal Medicine Group
Practice address
31 S Stanfield Rd
Suite 301
Troy, OH 45373-2374
Phone
(937) 339-3085
Fax
(937) 335-5865
NPI assigned
Sep 22, 2006
Last updated
Aug 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Pamela Rader
Title
Administrator
Phone
(937) 440-7454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OH Primary

Addresses

Primary practice location

31 S Stanfield Rd
Suite 301
Troy, OH 45373-2374

Mailing address

PO Box 479
Troy, OH 45373-0479
Phone (937) 339-3085

Other identifiers 1

IdentifierTypeStateIssuer
2616404MedicaidOH

Other names 1

  • Internal Medicine Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Upper Valley Profession9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1811096951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453730479",
            "telephone_number": "937-339-3085",
            "fax_number": "937-335-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S STANFIELD RD",
            "address_2": "SUITE 301",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732374",
            "telephone_number": "937-339-3085",
            "fax_number": "937-335-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "RADER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "937-440-7454"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2616404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.