Jila S Waikhom M D &Associates Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35036762 Issued in OH

Legal business name

JILA S WAIKHOM M D &ASSOCIATES INC

Doing business as

none

Practice address

440 Sugarbrook TRL
Bellbrook, OH 45305-9760

Phone

(937) 426-8235

NPI assigned

Mar 11, 2006

Last updated

Oct 27, 2014By 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

Jila S Waikhom, M.D.

Title

President

Phone

(937) 426-8235

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• none Doing business as

Locations

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1831167188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SUGARBROOK TRL",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453059760",
            "telephone_number": "937-426-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 SUGARBROOK TRL",
            "city": "BELLBROOK",
            "state": "OH",
            "postal_code": "453059760",
            "telephone_number": "937-426-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILA S WAIKHOM M D &ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-11",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "WAIKHOM",
        "authorized_official_first_name": "JILA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-426-8235",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35036762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0471903",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Bellbrook, OH
• Providers in Bellbrook, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.