EASTSIDE INTERNAL MEDICINE-GERIATRICS, INC (NPI# 1083684112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083684112 |
| Entity Type | Organization |
| Organization Name | EASTSIDE INTERNAL MEDICINE-GERIATRICS, INC |
| Practice Address |
1001 W Main St Williamsburg OH 45176-1146 |
| Mailing Address |
Po Box 643113 Cincinnati OH 45264-0307 |
| Practice Telephone | 5137242226 |
| Practice Fax Number | 5137245248 |
| Mailing Telephone | 5137242226 |
| Mailing Fax Number | 5137245248 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2010-03-25 |
| Authorized Official Name | JYOTI J MEHTA (PRESIDENT) |
| Authorized Official Telephone | 5137242226 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3007721 | 05 | |
| OH | RR MCR | DO8367 | 01 |
| Street Address |
1001 W MAIN ST |
| City | WILLIAMSBURG |
| State | OH |
| Zip Code | 45176-1146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508287368 | Personimed | Nurse Practitioner | 1001 W Main St, Williamsburg, OH 45176-1146 | 2013-12-21 |
| 1932170933 | Jyoti J Mehta | Internal Medicine | 1001 W Main St, Williamsburg, OH 45176-1146 | 2006-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508384140 | Danielle Nicole Alsip | Licensed Practical Nurse | 5874 Marathon-edenton Rd, Williamsburg, OH 45176 | 2017-09-04 |
| 1629131321 | Margaret Louise Mcafee | Home Health Aide | 3480 Twin Bridges Road, Williamsburg, OH 45176 | 2006-12-18 |
| 1427141019 | Fitzgerald & Huling Pharmacy Inc | Pharmacy | 305 West Main, Williamsburg, OH 45176 | 2006-10-02 |
| 1295100444 | Rebecca Wilker | Doula | 307 S Broadway St, Williamsburg, OH 45176-1014 | 2015-12-13 |
| 1194226910 | Sahara Dawn Dorsey | Registered Nurse | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2018-02-27 |
| 1841812393 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| 1003438557 | Healthsource of Ohio Inc | Clinic/Center | 500 S 5th St Ste 202, Williamsburg, OH 45176-1017 | 2020-05-07 |
| 1750521324 | Williamsburg Local School District | Local Education Agency (LEA) | 549 W Main St Ste A, Williamsburg, OH 45176-1120 | 2009-02-23 |
| 1164643458 | Aimee Jean Cooper | Social Worker | 549 W Main St Ste B, Williamsburg, OH 45176-1120 | 2007-05-02 |
| 1639698145 | Trisha Elizabeth Hering | Social Worker | 549 W Main St Ste B, Williamsburg, OH 45176-1120 | 2017-09-15 |
| Find all providers in zip 45176 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679671739 | Robert Glenn Kuhn | Clinic/Center | 3709 Strawberry Plains Rd, Suite D, Williamsburg, VA 23188-3424 | 2006-09-20 |
| 1740398015 | Corbin Cardiology & Internal Medicine, Inc. | Clinic/Center | 412 Sycamore St, Williamsburg, KY 40769-1137 | 2006-08-28 |
| 1083670210 | Physician &surgeon, P.C. | Clinic/Center | 136 Professional Cir, Williamsburg, VA 23185-3374 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871102301 | Access Behavioral LLC | Clinic/Center | 528 W Marion Rd Ste C, Mount Gilead, OH 43338-1085 | 2020-07-30 |
| 1629687157 | Access Behavioral LLC | Clinic/Center | 4725 Parkwick Dr Ste 100, Columbus, OH 43228-6401 | 2020-07-30 |
| 1992334858 | Pace Healthcare LLC | Clinic/Center | 5225 Cleveland Rd Ste F, Wooster, OH 44691-5541 | 2020-04-03 |
| 1225661986 | Partners In Recovery Inc | Clinic/Center | 1925 E. Livingston Ave, Suite 403, Columbus, OH 43209 | 2020-02-20 |
| 1073150009 | Redefined Counseling and Consulting | Clinic/Center | 8251 Mayfield Rd Ste 200, Chesterland, OH 44026-2567 | 2019-12-10 |
| 1861040099 | Proactive Immediate Care Clinic, LLC | Clinic/Center | 1661 State Route 522 Unit 2, Wheelersburg, OH 45694-8120 | 2019-08-30 |
| 1740837160 | Bf Empowerment Center LLC | Clinic/Center | 526 S Main St Ste 107, Akron, OH 44311-4401 | 2019-08-20 |
| 1497218077 | Wecare Tlc- Frontpath | Clinic/Center | 1090 W South Boundary St Ste 200, Perrysburg, OH 43551-5278 | 2019-04-10 |
| 1013474857 | Dose Anesthesia | Clinic/Center | 5423 Mahoning Ave Ste G, Austintown, OH 44515-2435 | 2019-02-28 |
| 1962986372 | Shannon Jap Md LLC | Clinic/Center | 5040 Forest Dr Ste 210, New Albany, OH 43054-8166 | 2018-09-20 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSBURG |
| Zip Code | 45176 |
Please comment or provide details below to improve the information on EASTSIDE INTERNAL MEDICINE-GERIATRICS, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.