Alec Nooree Mian, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

35047822M Issued in OH

Practice address

2600 Navarre Ave
St Charles Mercy Hospital
Oregon, OH 43616-3297

Phone

(419) 696-7216

Fax

(419) 696-2123

NPI assigned

Jan 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1013997048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1188",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434021188",
            "telephone_number": "419-698-9711",
            "fax_number": "419-698-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 NAVARRE AVE",
            "address_2": "ST CHARLES MERCY HOSPITAL",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163297",
            "telephone_number": "419-696-7216",
            "fax_number": "419-696-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAN",
        "first_name": "ALEC",
        "middle_name": "NOOREE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35047822M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2702156100",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0724818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Health-St Charles Hospital LLC
• Mercy Health-St Charles Hospital LLC
• Mercy Health-St Charles Hospital LLC
• Todd Aaron Meredith, M.D.
• MH Oregon Operating, LLC
• Michael D Cragel DPM
• Michael D. Cragel, DPM
• Michael D. Lorton, M.D.
• Charles Michalak, DDS
• Midwest Eye Consultants Ohio, Inc

• Anatomic Pathology & Clinical Pathology Physician in Oregon, OH
• Providers in Oregon, OH by specialty
• Anatomic Pathology & Clinical Pathology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.