Active NPI
Rudolph J. Vela M.D. Inc.
- Family Medicine Physician
- Tiffin, OH
National Provider Identifier
1073700647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35053275
- Legal business name
- RUDOLPH J. VELA M.D. INC.
- Practice address
- 3101 W. U.S. Route 224
Tiffin, OH 44883-8305 - Phone
- (419) 448-0220
- Fax
- (419) 448-0461
- NPI assigned
- Sep 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karen L Vela
- Title
- Vice President/Administrator
- Phone
- (419) 448-0220
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35053275 | OH | Primary |
Addresses
Primary practice location
3101 W. U.S. Route 224
Tiffin, OH 44883-8305
Mailing address
3101 W. U.S. Rte 224
Tiffin, OH 44883-8305
Phone (419) 448-0220
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0659498 | Medicaid | OH | |
| VE059662 | Other | MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Tiffin, OH
- NPI 1407043904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190937600000",
"number": "1073700647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 W. U.S. RTE 224",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448838305",
"telephone_number": "419-448-0220",
"fax_number": "419-448-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 W. U.S. ROUTE 224",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448838305",
"telephone_number": "419-448-0220",
"fax_number": "419-448-0461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUDOLPH J. VELA M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-27",
"last_updated": "2007-09-28",
"status": "A",
"authorized_official_last_name": "VELA",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VICE PRESIDENT/ADMINISTRATOR",
"authorized_official_telephone_number": "419-448-0220",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35053275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0659498",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "VE059662",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tiffin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.