Organization Active NPI

Medxm

  • Respite Care
  • Fairview Park, OH
National Provider Identifier
1073948808
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
5601006700 Issued in MI
Legal business name
MEDXM
Practice address
21576 N Park Dr
Fairview Park, OH 44126-2324
Phone
(440) 724-6363
NPI assigned
Sep 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Authorized official

Name
Mr. Matthew Mann Minarik, PA-C
Title
Physician Assistant
Phone
(440) 724-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 5601006700 MI Primary

Addresses

Primary practice location

21576 N Park Dr
Fairview Park, OH 44126-2324

Mailing address

21576 N Park Dr
Fairview Park, OH 44126-2324
Phone (440) 724-6363

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": "1378857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1073948808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21576 N PARK DR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262324",
            "telephone_number": "440-724-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21576 N PARK DR",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262324",
            "telephone_number": "440-724-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDXM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "MINARIK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "MANN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "440-724-6363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MI",
            "license": "5601006700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.