RONALD L WATHEN


Address: 1030 Shepherds Way, Clarksville, OH 45113-8280
Phone: 9372899046

RONALD L WATHEN (NPI# 1568571529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568571529
Entity Type Individual
Full Name RONALD L WATHEN
Credential MD
Practice Address 1030 Shepherds Way
Clarksville
OH 45113-8280
Mailing Address Po Box 249
Wilmington
OH 45177-0249
Practice Telephone 9372899046
Mailing Telephone 6142613712
Mailing Fax Number 6144479593
Enumeration Date 2006-08-30
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RN0300X Internal Medicine
Specialization: Nephrology
35077894 OH Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UNITED HEALTH CARE 3180197 01
ANTHEM 000000154470 01
OH 2170181 05

Office Location

Street Address 1030 SHEPHERDS WAY
City CLARKSVILLE
State OH
Zip Code 45113-8280

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1770015786 Megan Whyte Specialist/Technologist 3827 Pansy Road, Clarksville, OH 45113 2017-03-29
1639538093 James Simpson Counselor 30 East Broad Street, Floor 11, Columbus, OH 45113 2016-02-15
1821376112 Amber Yvonne Fisher Home Health Aide 9014 Us Highway 3 W, Clarksville, OH 45113 2011-08-03
1417105081 Colleen Yvonne Fisher Registered Nurse 9014 State Route 3 West, Clarksville, OH 45113 2008-09-08
1053519421 Tommy R. Tigar, M.d., Inc. Specialist 341 E. Main Street, Clarksville, OH 45113 2007-07-06
1073668802 Clinton-warren Joint Fire & Rescue District Ambulance 82 Springhill Rd, Clarksville, OH 45113 2007-01-24
1609939222 Dorrena Lea Deck Nurse Practitioner 341 E. Main St., Clarksville, OH 45113 2006-12-18
1063883718 Jennifer Allen Licensed Practical Nurse 2556 Lebanon Rd, Clarksville, OH 45113 2015-10-07
1487798757 Med A Call Corporation Durable Medical Equipment & Medical Supplies 87 Brittany Dr, Clarksville, OH 45113-7001 2007-02-19
1023439601 Home Matters LLC Home Health 1132 Indian Lakes Blvd, Clarksville, OH 45113-7604 2013-12-26
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Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720033038 Adel Saleh Internal Medicine 312 Landrum Pl Ste B, Clarksville, TN 37043-4648 2006-05-24
1417938432 John K Endsley Internal Medicine 311 Landrum Place, Ste 100, Clarksville, TN 37043 2005-11-08
1144433376 John K. Endsley, Md, PC Internal Medicine 311 Landrum Pl, Suite 100, Clarksville, TN 37043-6319 2007-05-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255958500 Cleveland Kidney Care, LLC Internal Medicine 5 Eleven Riv, Rocky River, OH 44116-1777 2020-07-02
1376187880 Muhammad Tariq Baig Internal Medicine 2323 River Oaks Dr, Columbus, OH 43228-9165 2019-10-29
1699233221 Ideal Vascular Centers LLC Internal Medicine 20455 Lorain Rd Ste T1, Fairview Park, OH 44126-3495 2019-03-02
1932677515 Elizabeth Kidder Grames Internal Medicine 2702 Navarre Ave Ste 201, Oregon, OH 43616-3224 2018-11-13
1578057865 Govani Kidney Care LLC Internal Medicine 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 2018-06-19
1205280906 Rtr Nephrology Internal Medicine 7600 Affinity Place, Cincinnati, OH 45231-3535 2016-04-19
1922477835 Adult Hypertension and Kidney Specialists LLC Internal Medicine 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 2015-09-21
1144615220 Mansur Pathan Internal Medicine 655 Fox Run Rd Ste C, Findlay, OH 45840-8401 2015-04-05
1417364712 Tarun Mittal Internal Medicine Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 2014-07-18
1457793150 Vinay Mulkanoor Internal Medicine 595 Copeland Mill Rd Ste 2d, Westerville, OH 43081 2013-07-23
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Competitor

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City CLARKSVILLE
Zip Code 45113

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Dataset Information

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.

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