| Diley Medical Group Llc | |
|
475 Hill Rd N Suite C Pickerington OH 43147-1157 | |
| (614) 949-1377 | |
| (614) 863-6164 |
| Full Name | Diley Medical Group Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 475 Hill Rd N, Pickerington, Ohio |
| Authorized Official Name and Position | David Edward Whitt (PRESIDENT/DIRECTOR) |
| Authorized Official Contact | 6149491377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diley Medical Group Llc 475 Hill Rd N Suite C Pickerington OH 43147-1157 Ph: (614) 949-1377 | Diley Medical Group Llc 475 Hill Rd N Suite C Pickerington OH 43147-1157 Ph: (614) 949-1377 |
| NPI Number | 1073787537 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Medicare PECOS PAC ID | 3870662752 |
|---|---|
| Medicare Enrollment ID | O20080519000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073787537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 34-00-7003W (Florida) | Primary |
| Provider Name | David E Whitt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710961438 PECOS PAC ID: 4587637350 Enrollment ID: I20080508000833 |
| Provider Name | Sara E Sargent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083803779 PECOS PAC ID: 3577693969 Enrollment ID: I20100610001022 |
| Provider Name | John C Whittington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386629632 PECOS PAC ID: 8527220714 Enrollment ID: I20120504000316 |
| Provider Name | Michele Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134780174 PECOS PAC ID: 5698002145 Enrollment ID: I20190807001248 |
| Provider Name | Robert Parker Guinsler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720541253 PECOS PAC ID: 0749515054 Enrollment ID: I20221208001567 |
| Provider Name | Mikayla Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902424930 PECOS PAC ID: 0941679187 Enrollment ID: I20221212000696 |
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