Active NPI
West Jefferson Internal Medicine
- Primary Care Nurse Practitioner
- West Jefferson, OH
National Provider Identifier
1912227158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- NP057914
- Legal business name
- WEST JEFFERSON INTERNAL MEDICINE
- Practice address
- 95 East Main Street
West Jefferson, OH 43162 - Phone
- (614) 879-7300
- Fax
- (614) 879-7151
- NPI assigned
- Jun 10, 2010
- Last updated
- May 1, 2019
- Organization subpart
- Yes
- Parent organization
- WEST JEFFERSON INTERNAL MEDICINE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric James Yoon, DNP
- Title
- President
- Phone
- (614) 879-7300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NP057914 | OH | Primary |
Addresses
Primary practice location
95 East Main Street
West Jefferson, OH 43162
Mailing address
95 East Main Street
West Jefferson, OH 43162
Phone (614) 879-7300
National Provider Directory
National Provider Directory- Part of
- West Jefferson Internal Medicine
Locations
93 E Main St
West Jefferson, OH 43162
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- West Jefferson, OH
- NPI 1326046798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1556668800000",
"number": "1912227158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 EAST MAIN STREET",
"city": "WEST JEFFERSON",
"state": "OH",
"postal_code": "43162",
"telephone_number": "614-879-7300",
"fax_number": "614-879-7151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 EAST MAIN STREET",
"city": "WEST JEFFERSON",
"state": "OH",
"postal_code": "43162",
"telephone_number": "614-879-7300",
"fax_number": "614-879-7151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST JEFFERSON INTERNAL MEDICINE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEST JEFFERSON INTERNAL MEDICINE INC",
"enumeration_date": "2010-06-10",
"last_updated": "2019-05-01",
"status": "A",
"authorized_official_last_name": "YOON",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-879-7300",
"authorized_official_credential": "DNP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": "OH",
"license": "NP057914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Jefferson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.