Organization Active NPI

Rudolph J. Vela M.D. Inc.

  • Family Medicine Physician
  • Tiffin, OH
National Provider Identifier
1073700647
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35053275 Issued in OH
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

Updated by the provider on Sep 28, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0659498MedicaidOH
VE059662OtherMEDICARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.