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ADULT GERIATRICS OF WOOSTER INC. NPI 1689702870


NPI Information

NPI: 1689702870
Provider Name: ADULT GERIATRICS OF WOOSTER, INC.
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 36D1061555

Address:
1761 BEALL AVE
SUITE 3C
WOOSTER, OH
ZIP 44691
Phone: (330) 345-5374
Get Directions

ADULT GERIATRICS OF WOOSTER, INC. is a geriatric medicine family medicine in Wooster, OH. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. ADULT GERIATRICS OF WOOSTER, INC. NPI is 1689702870. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1761 BEALL AVE
SUITE 3C
WOOSTER, OH
ZIP 44691-342
Phone: (330) 345-5374
Fax: (330) 345-5814

The provider's authorized official is Kimberly I Williams .
The authorized official title is Office Manager and has the following contact phone number (330) 345-5374.

The CLIA number assigned to this NPI record is 36D1061555 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 1/21/2015.


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
1207QG0300XFamily MedicineGeriatric Medicine34074032KOHIOYes

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: 11/14/2023

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