Active NPI 1992773501 Individual Practitioner Male Practitioner

Dr. David Montgomery , DO

Internal Medicine • Marietta, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Montgomery, DO is a certified Internal Medicine practicing in Marietta, OH. With approximately 29 years of clinical experience since graduating from West Virginia School Of Osteopathic Medicine in 1997, Dr. Montgomery delivers high-quality medical care to the local community at 320 E 8TH ST STE 141.

Dr. Montgomery maintains professional affiliations with Marietta Memorial Hospital, Mhc Physicians Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

320 E 8th St Ste 141

Marietta, OH 457503382

Telephone 7403745580

Fax 7403746266

Associated Practice Facility / Clinic

🏢 Marietta Health Care Physicians, Inc. Facility NPI 1912965732

Medicare Profile & Education

Medical School

West Virginia School Of Osteopathic Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Marietta, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +7.7 yrs vs City Avg

City Avg: 21.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

41 Specialists

Practicing in Marietta, OH (5516 Statewide)

Telehealth Adoption Rate

9.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Montgomery (29 Years) 29 Yrs

Marietta Specialty Average (21.3 Years) 21.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	594	228	$180.50	$101.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	491	245	$135.68	$70.06
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	470	234	$135.68	$70.20
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	400	345	$257.64	$125.44
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	361	188	$180.50	$101.57
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	134	80	$86.82	$37.94
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	97	82	$257.64	$126.58
99316 Nursing facility discharge management, more than 30 minutes	32	32	$209.16	$123.61
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$116.71	$49.46
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	19	17	$86.82	$38.08
99315 Nursing facility discharge day management, 30 minutes or less	15	15	$145.04	$76.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,032	329	$135.68	$69.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	885	366	$135.68	$69.95
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	635	235	$86.82	$37.24
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	536	441	$257.64	$126.45
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	198	177	$257.64	$125.30
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	192	126	$86.82	$37.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	182	149	$180.50	$100.20
99316 Nursing facility discharge management, more than 30 minutes	82	79	$209.16	$124.12
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	64	49	$180.50	$100.24
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	30	$116.71	$49.31
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	22	21	$178.46	$77.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	982	409	$135.68	$66.86
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	903	309	$135.68	$66.44
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	830	305	$86.82	$42.39
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	555	484	$257.64	$125.28
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	395	213	$86.82	$42.52
99318 Nursing facility annual assessment, typically 30 minutes	86	86	$189.38	$92.54
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	76	62	$180.50	$87.19
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	71	67	$257.64	$125.17
99316 Nursing facility discharge management, more than 30 minutes	63	63	$209.16	$100.69
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$226.40	$129.69
99213 Established patient office or other outpatient visit, typically 15 minutes	61	58	$125.91	$66.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	42	$116.71	$51.54
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	42	41	$180.50	$87.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	37	$178.81	$98.37
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	29	19	$79.56	$39.71
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	19	14	$178.46	$87.13
99316 Nursing facility discharge management, more than 30 minutes	13	12	$209.16	$100.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	950	321	$86.82	$42.84
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	798	362	$135.68	$67.33
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	716	291	$135.68	$67.31
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	686	346	$86.82	$42.85
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	510	427	$257.64	$126.61
99213 Established patient office or other outpatient visit, typically 15 minutes	253	179	$108.07	$67.85
99316 Nursing facility discharge management, more than 30 minutes	140	133	$209.16	$102.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$226.40	$130.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	94	$160.49	$99.56
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	83	65	$180.50	$88.73
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	72	72	$29.62	$14.10
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	72	72	$44.46	$21.18
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	65	60	$257.64	$126.40
99318 Nursing facility annual assessment, typically 30 minutes	64	64	$189.38	$93.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	51	49	$116.71	$51.57
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	49	27	$79.56	$39.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	32	$180.50	$88.61
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	21	17	$178.46	$87.80
99316 Nursing facility discharge management, more than 30 minutes	14	14	$209.16	$102.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	928	203	$86.82	$43.88
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	546	188	$135.68	$68.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	545	202	$135.68	$68.91
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	517	220	$86.82	$43.92
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	386	384	$44.46	$22.35
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	386	384	$29.62	$14.89
99213 Established patient office or other outpatient visit, typically 15 minutes	278	179	$105.45	$52.06
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	216	191	$257.64	$129.64
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	156	156	$226.40	$113.52
99316 Nursing facility discharge management, more than 30 minutes	101	95	$209.16	$105.42
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	79	79	$44.46	$22.45
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	79	79	$29.62	$14.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	76	71	$116.71	$52.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	64	49	$180.50	$90.70
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	60	38	$79.56	$39.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	47	$160.27	$79.79
99318 Nursing facility annual assessment, typically 30 minutes	48	48	$189.38	$96.06
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	41	41	$257.64	$129.38
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	27	20	$180.50	$90.95
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	17	15	$178.46	$90.37
99316 Nursing facility discharge management, more than 30 minutes	13	13	$209.16	$105.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	881	182	$87.64	$43.16
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	677	170	$136.72	$67.43
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	558	553	$44.66	$21.94
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	557	552	$29.72	$14.62
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	467	165	$136.74	$67.40
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	362	154	$87.75	$43.13
99213 Established patient office or other outpatient visit, typically 15 minutes	291	201	$110.81	$50.13
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	168	157	$260.66	$128.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	161	161	$227.74	$112.25
99316 Nursing facility discharge management, more than 30 minutes	103	97	$210.72	$103.92
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	77	77	$30.02	$14.72
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	76	76	$45.24	$22.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	55	51	$116.71	$51.39
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	52	26	$80.95	$39.57
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	48	48	$258.52	$128.02
99318 Nursing facility annual assessment, typically 30 minutes	43	43	$189.92	$94.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	37	$164.05	$76.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	35	$183.12	$89.67
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	35	31	$181.61	$89.70
99316 Nursing facility discharge management, more than 30 minutes	13	13	$209.16	$103.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	882	223	$144.81	$67.13
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	871	224	$94.01	$43.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	781	259	$144.81	$67.37
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	571	243	$94.01	$43.30
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	312	286	$278.81	$127.10
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	268	265	$51.87	$21.69
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	268	265	$33.51	$14.44
99213 Established patient office or other outpatient visit, typically 15 minutes	250	180	$152.38	$49.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	188	188	$236.66	$111.73
99316 Nursing facility discharge management, more than 30 minutes	182	173	$221.53	$103.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	104	85	$226.94	$76.48
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	81	81	$51.87	$21.70
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	81	81	$33.51	$14.45
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	81	68	$116.71	$51.55
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	81	61	$190.20	$88.59
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	78	31	$88.61	$39.77
99318 Nursing facility annual assessment, typically 30 minutes	54	54	$201.00	$93.92
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	34	34	$278.81	$124.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	31	27	$190.20	$89.08
99316 Nursing facility discharge management, more than 30 minutes	12	12	$221.53	$97.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	704	198	$141.08	$65.87
99231 Follow-up hospital inpatient care per day, typically 15 minutes	639	147	$59.84	$37.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	624	207	$141.15	$65.80
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	525	161	$91.89	$42.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	511	138	$109.29	$69.30
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	336	336	$50.41	$21.33
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	336	336	$32.56	$14.20
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	290	257	$270.85	$124.61
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	283	153	$91.74	$42.55
99316 Nursing facility discharge management, more than 30 minutes	163	153	$215.91	$101.21
99239 Hospital discharge day management, more than 30 minutes	131	127	$160.61	$102.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	123	123	$230.42	$110.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	112	107	$209.16	$131.49
99213 Established patient office or other outpatient visit, typically 15 minutes	109	105	$147.94	$49.94
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	108	108	$50.43	$21.36
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	108	108	$32.58	$14.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	75	69	$113.83	$51.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	64	48	$185.32	$87.13
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	61	49	$185.41	$87.00
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	52	24	$86.18	$39.36
99318 Nursing facility annual assessment, typically 30 minutes	50	50	$196.55	$92.27
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	34	34	$270.91	$121.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	11	$155.68	$100.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$219.46	$77.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$304.29	$194.61

Medical Specialties & State Licenses

CMS Verified: 2025-06-20

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 34007570

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Mhc Physicians Inc

424 Highland Ave, Williamstown, WV 261871249

Phone: 7403766191

Marietta Memorial Hospital

320 E 8th St, Marietta, OH 457503382

Marietta Memorial Hospital

401 Matthew St, Marietta, OH 457501635

Phone: 7403741400

Secondary Practice Locations

424 Highland Ave

Williamstown, WV 261871249

Phone: 7403766191

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Megan Mcelroy , CNP

Nurse Practitioner

NPI 1093131922

Certified Nurse Practitioner

Dr. Eva Giro , MD

Internal Medicine

NPI 1104821420

Doctor of Medicine (M.D.)

Dr. Tamara Montgomery , DO

Family Medicine

NPI 1114995602

Doctor of Osteopathic Medicine (D.O.)

Dr. Roxanne Cech , MD

Family Medicine

NPI 1497830566

Doctor of Medicine (M.D.)

Amy Holdren , NP-C

Nurse Practitioner - Family

NPI 1922561695

Nurse Practitioner (Certified)

Abigail Delancey , PA

Physician Assistant

NPI 1992596183

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Business Mailing Address June 20, 2025

Registered at 416 COLEGATE DR BLDG 3, MARIETTA, OH 457509549 (Tel: 7403743526)

📍

Updated Practice Location September 18, 2024

Registered at 320 E 8TH ST STE 141, MARIETTA, OH 457503382 (Tel: 7403745580)

✅

NPI Profile Active May 26, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location May 26, 2015

Registered at 320 E. EIGHTH ST., SUITE 141, MARIETTA, OH 457501656 (Tel: 7403745580)

📍

Updated Business Mailing Address May 26, 2015

Registered at PO BOX 449, MARIETTA, OH 457500449 (Tel: 7403744500)

👤

Provider Name / Credentials Updated May 26, 2015

Recorded as DAVID MONTGOMERY, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2015

Internal Medicine (License #34007570 in OH)

🟢

Initial NPI Registration & Enumeration March 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992773501

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 09, 2006

Last Update: June 20, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

416 Colegate Dr Bldg 3

Marietta, OH 457509549

Phone: 7403743526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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