NPIMap

Organization Active NPI

E-Clinic LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Elyria, OH
National Provider Identifier
1114229242
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35090011 Issued in OH
Legal business name
E-CLINIC LLC
Practice address
210 E Broad St
Elyria, OH 44035-6431
Phone
(440) 322-0872
Fax
(440) 322-4991
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Dr. Vikramjeet Kumar, M.D.
Title
President
Phone
(440) 322-0872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X 35090011 OH Primary

Addresses

Primary practice location

210 E Broad St
Elyria, OH 44035-6431

Mailing address

210 E Broad St
Elyria, OH 44035-6431
Phone (440) 322-0872

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1114229242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356431",
            "telephone_number": "440-322-0872",
            "fax_number": "440-322-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356431",
            "telephone_number": "440-322-0872",
            "fax_number": "440-322-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E-CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "VIKRAMJEET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-322-0872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35090011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.