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PERSONAL MD LLC NPI 1023231602


NPI Information

NPI: 1023231602
Provider Name: PERSONAL MD, LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
5121 FOREST DRIVE
SUITE D
NEW ALBANY, OH
ZIP 43054
Phone: (614) 933-9100
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PERSONAL MD, LLC is a specialist in New Albany, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PERSONAL MD, LLC NPI is 1023231602. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5121 FOREST DRIVE
SUITE D
NEW ALBANY, OH
ZIP 43054-102
Phone: (614) 933-9100
Fax: (614) 933-9103

The provider's authorized official is Deborah Milks .
The authorized official title is Vice President and has the following contact phone number (614) 933-9100.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 1/31/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist35-045924OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19365321MEDICARE PINOHIO
2A79981MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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