NPIMap

Organization Active NPI

Van Wert Medical Services, LTD.

  • Podiatrist
  • Van Wert, OH
National Provider Identifier
1124369350
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36003593 Issued in OH
Legal business name
VAN WERT MEDICAL SERVICES, LTD.
Practice address
140 Fox Rd
Suite 104
Van Wert, OH 45891-2475
Phone
(419) 232-5291
Fax
(419) 232-5292
NPI assigned
Mar 13, 2013
Organization subpart
Yes
Parent organization
VAN WERT MEDICAL SERVICES, LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Authorized official

Name
Michael T Holliday
Title
VP Fiscal & Administrative Services
Phone
(419) 238-2390

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X 36003593 OH Primary

Addresses

Primary practice location

140 Fox Rd
Suite 104
Van Wert, OH 45891-2475

Mailing address

140 Fox Rd
Suite 202
Van Wert, OH 45891-2475
Phone (419) 238-6735

Other names 1

  • Van Wert Medical Services - DME Doing business as

National Provider Directory

National Provider Directory
Part of
Van Wert Medical Services L

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478476800000",
    "number": "1124369350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 FOX RD",
            "address_2": "SUITE 202",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912475",
            "telephone_number": "419-238-6735",
            "fax_number": "419-232-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 FOX RD",
            "address_2": "SUITE 104",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458912475",
            "telephone_number": "419-232-5291",
            "fax_number": "419-232-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN WERT MEDICAL SERVICES, LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAN WERT MEDICAL SERVICES, LTD.",
        "enumeration_date": "2013-03-13",
        "last_updated": "2016-11-07",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VP FISCAL & ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "419-238-2390"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36003593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Van Wert Medical Services - DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Wert, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.