Healthcare Provider Details
I. General information
NPI: 1285523431
Provider Name (Legal Business Name): PHYSICIAN WITHIN US
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/01/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
85 EXECUTIVE PKWY STE 203
HUDSON OH
44236-1691
US
IV. Provider business mailing address
85 EXECUTIVE PKWY STE 203
HUDSON OH
44236-1691
US
V. Phone/Fax
- Phone: 234-380-6564
- Fax: 330-299-8293
- Phone: 234-380-6564
- Fax: 330-299-8293
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ALIA
NICOLE
WHITMAN
Title or Position: OWNER
Credential: M.D.
Phone: 330-485-3665