Individual provider Active NPI

Margarita Lassaletta, MD

  • Family Medicine Physician
  • Wadsworth, OH
National Provider Identifier
1063518371
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-067706 Issued in OH
Practice address
185 Wadsworth Rd
Suite 2E
Wadsworth, OH 44281-8330
Phone
(330) 336-5046
Fax
(330) 336-5052
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-067706 OH
Family Medicine Physician 207Q00000X 35-067706 OH Primary
Obstetrics & Gynecology Physician 207V00000X 35-067706 OH

Addresses

Primary practice location

185 Wadsworth Rd
Suite 2E
Wadsworth, OH 44281-8330

Mailing address

185 Wadsworth Rd
Suite 2E
Wadsworth, OH 44281-8330
Phone (330) 336-5046

Other identifiers 3

IdentifierTypeStateIssuer
000000309393OtherABCBS
2045085MedicaidOH
590852OtherOHATENA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031218000207 OH Practitioner - Family PracticePractitioner - Other (Physician) 1052218336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
JC Edwards School of Medicine, Marshall University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

185 Wadsworth Rd
Suite 2E
Wadsworth, OH 44281-8330

185 Wadsworth Rd
Suite E
Wadsworth, OH 44281-9585
Phone (330) 336-5046

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-067706OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates of Canton, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1063518371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 WADSWORTH RD",
            "address_2": "SUITE 2E",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818330",
            "telephone_number": "330-336-5046",
            "fax_number": "330-336-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 WADSWORTH RD",
            "address_2": "SUITE 2E",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442818330",
            "telephone_number": "330-336-5046",
            "fax_number": "330-336-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSALETTA",
        "first_name": "MARGARITA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-067706",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-067706",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-067706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABCBS",
            "identifier": "000000309393",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2045085",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATENA",
            "identifier": "590852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.