Provider Demographics
NPI:1033312111
Name:IN HOUSE INTERNISTS, INC
Entity Type:Organization
Organization Name:IN HOUSE INTERNISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-229-2622
Mailing Address - Street 1:PO BOX 749
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45802-0749
Mailing Address - Country:US
Mailing Address - Phone:419-229-2622
Mailing Address - Fax:
Practice Address - Street 1:750 W HIGH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801-2969
Practice Address - Country:US
Practice Address - Phone:419-229-2622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2458693Medicaid
OH2068097Medicaid
OH2560910Medicaid
OH2458684Medicaid
OH4167211Medicare ID - Type UnspecifiedSALGRAM
OH4100561Medicare ID - Type UnspecifiedRAHMAN
OHH78272Medicare UPIN
OHH49854Medicare UPIN
OH4020832Medicare ID - Type UnspecifiedTUMA
OH4100491Medicare ID - Type UnspecifiedHAGAN
OHI37107Medicare UPIN
OH2458693Medicaid