Organization Active NPI

Runyon's

  • Contractor
  • Mansfield, OH
National Provider Identifier
1033156419
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
171W00000X Issued in OH
Legal business name
RUNYON'S
Practice address
279 Lenox Ave
Mansfield, OH 44906-2519
Phone
(419) 529-2150
Fax
(419) 529-8408
NPI assigned
Jun 2, 2006
Last updated
Aug 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Mr. Gary L Runyon
Title
Owner/Operator
Phone
(419) 529-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 171W00000X OH Primary

Addresses

Primary practice location

279 Lenox Ave
Mansfield, OH 44906-2519

Mailing address

279 Lenox Ave
Mansfield, OH 44906-2519
Phone (419) 529-2150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1033156419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 LENOX AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062519",
            "telephone_number": "419-529-2150",
            "fax_number": "419-529-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 LENOX AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062519",
            "telephone_number": "419-529-2150",
            "fax_number": "419-529-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNYON'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "RUNYON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "419-529-2150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "OH",
            "license": "171W00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.