Western Medicine, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35081458 Issued in OH

Legal business name

WESTERN MEDICINE, INC.

Practice address

7774 Dayton Springfield Rd
Fairborn, OH 45324-1957

Phone

(937) 864-7363

Fax

(937) 864-5895

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Thomas Dean, M.D.NPI 1932172467

Title

Owner

Phone

(937) 864-7363

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacob Thomas Dean, M.D.

  • Family Medicine Physician
  • Fairborn, OH
  • NPI 1932172467
  Medicare reassignment Care Compare group NPD Authorized official
• Jennifer Michelle Dyer, FNP

  • Family Nurse Practitioner
  • Fairborn, OH
  • NPI 1326279373
  Medicare reassignment Care Compare group NPD
• Ashton Davis, PA-C

  • Physician Assistant
  • Johnstown, OH
  • NPI 1922872175
  Medicare reassignment Care Compare group
• Victoria Lynne Hase, PA-C

  • Physician Assistant
  • Fairborn, OH
  • NPI 1467039578
  Medicare reassignment Care Compare group
• Trent H Nourse, PA-C, MPAS

  • Physician Assistant
  • Fairborn, OH
  • NPI 1821091455
  Medicare reassignment Care Compare group
• Paulette L Becker, NP-C

  • Family Nurse Practitioner
  • Fairborn, OH
  • NPI 1174724777
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1912970468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "ENON",
            "state": "OH",
            "postal_code": "453230339",
            "telephone_number": "937-864-7363",
            "fax_number": "937-864-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7774 DAYTON SPRINGFIELD RD",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453241957",
            "telephone_number": "937-864-7363",
            "fax_number": "937-864-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-864-7363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35081458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2632593",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianne Wells
• Lindsay Wells
• Nina Wells
• Latrice Kenyetta Wesley, LPN
• Christopher West
• Rhebecca Weyer
• Jacqueline Whelan
• Amy White
• Cherie White
• Maison Andrea White

• Family Medicine Physician in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.