Medical Information Technology Consultants

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MEDICAL INFORMATION TECHNOLOGY CONSULTANTS

Practice address

675 Bally Row
Mansfield, OH 44906-2967

Phone

(419) 756-4999

Fax

(419) 756-4949

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steve Gardilcic, M.D.

Title

Ceo

Phone

(419) 756-4999

Specialties & licenses 1

Addresses

Other names 1

• Urology Associates Facility Doing business as

Tax ID family

Medical Information Technology Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Urology Associates Facility

  • Ambulatory Surgical Clinic/Center
  • Mansfield, OH
  • NPI 1487988671
  NPD tax ID

Locations

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1134316201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 BALLY ROW",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062967",
            "telephone_number": "419-756-4999",
            "fax_number": "419-756-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 BALLY ROW",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062967",
            "telephone_number": "419-756-4999",
            "fax_number": "419-756-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL INFORMATION TECHNOLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "GARDILCIC",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-756-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urology Associates Facility",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Medcentral Professional Association Inc.
• Medcentral Professional Foundation, LLC
• Medella Counseling Services LLC
• Medic Response Ambulance Service, Inc.
• Medical Arts Internists, Inc.
• Medical Nanny
• Medical Service Company
• Medical Service Company
• Monica Sue Medley, STNA
• Karyanne Meek, CNP

• All providers in Mansfield, OH
• Ambulatory Surgical Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.