Organization Active NPI

Medica Plus LTD

  • Internal Medicine Physician
  • Warrensville Heights, OH
National Provider Identifier
1013947365
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35076221M Issued in OH
Legal business name
MEDICA PLUS LTD
Practice address
4200 Warrensville Center Rd
Suite 271
Warrensville Heights, OH 44122-7051
Phone
(440) 542-0392
Fax
(440) 834-1902
NPI assigned
Jul 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Petrica ManolacheNPI 1447219415
Title
Owner
Phone
(440) 221-7121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35076221M OH Primary

Addresses

Primary practice location

4200 Warrensville Center Rd
Suite 271
Warrensville Heights, OH 44122-7051

Mailing address

PO Box 391414
Solon, OH 44139-8414
Phone (440) 221-7121

Other identifiers 1

IdentifierTypeStateIssuer
2731520MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060417000609 OH Part B Supplier - Clinic/Group Practice 4789693979 Receives reassigned benefits from 2 practitioners
Practice locations: Warrensville Heights, OH

National Provider Directory

National Provider Directory

Locations

4200 Warrensville Center Rd
Ste 344
Warrensvl Hts, OH 44122
Phone (216) 561-8844

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1013947365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391414",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441398414",
            "telephone_number": "440-221-7121",
            "fax_number": "440-834-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 271",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441227051",
            "telephone_number": "440-542-0392",
            "fax_number": "440-834-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICA PLUS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "MANOLACHE",
        "authorized_official_first_name": "PETRICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-221-7121",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35076221M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2731520",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.