NPIMap

Organization Active NPI

My Urban Clinic, Inc

  • Clinic/Center
  • Wooster, OH
National Provider Identifier
1053509752
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MY URBAN CLINIC, INC
Practice address
306 Beall Ave
Wooster, OH 44691-3520
Phone
(330) 264-0247
Fax
(330) 264-0463
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Toney E Means
Title
President
Phone
(713) 278-8710

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X TX Primary

Addresses

Primary practice location

306 Beall Ave
Wooster, OH 44691-3520

Mailing address

PO Box 421472
Houston, TX 77242-1472
Phone (713) 278-8710

Other names 1

  • My Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Clinic19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053509752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421472",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421472",
            "telephone_number": "713-278-8710",
            "fax_number": "713-278-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913520",
            "telephone_number": "330-264-0247",
            "fax_number": "330-264-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY URBAN CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MEANS",
        "authorized_official_first_name": "TONEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-278-8710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.