Organization Active NPI

Medcare Group Inc.

  • Clinic/Center
  • Parma Heights, OH
National Provider Identifier
1104184068
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
079249 Issued in OH
Legal business name
MEDCARE GROUP INC.
Practice address
6975 W 130TH St
Parma Heights, OH 44130-7821
Phone
(440) 888-7487
Fax
(440) 888-7532
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Carmen PopaNPI 1841385119
Title
MD
Phone
(440) 888-7487

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 079249 OH Primary

Addresses

Primary practice location

6975 W 130TH St
Parma Heights, OH 44130-7821

Mailing address

6975 W 130TH St
Parma Heights, OH 44130-7821
Phone (440) 888-7487

Other identifiers 1

IdentifierTypeStateIssuer
2879461MedicaidOH

National Provider Directory

National Provider Directory

Locations

6975 W 130th St
Parma Heights, OH 44130
Phone (440) 888-7487

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": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1104184068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6975 W 130TH ST",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307821",
            "telephone_number": "440-888-7487",
            "fax_number": "440-888-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6975 W 130TH ST",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441307821",
            "telephone_number": "440-888-7487",
            "fax_number": "440-888-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "POPA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "440-888-7487"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "079249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2879461",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.