Individual provider Active NPI

Mary Karen Somogye I, R.N.

  • Case Management Registered Nurse
  • Sylvania, OH
National Provider Identifier
1144540550
Registry record updated Jun 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
RN.147510- Issued in OH
Practice address
6056 Burrwood Dr
Sylvania, OH 43560-1001
Phone
(419) 349-0110
NPI assigned
Jun 8, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X RN.147510- OH Primary

Addresses

Primary practice location

6056 Burrwood Dr
Sylvania, OH 43560-1001

Mailing address

6056 Burrwood Dr
Sylvania, OH 43560-1001
Phone (419) 349-0110

Other identifiers 3

IdentifierTypeStateIssuer
3044048OtherOHODJFS MEDICAID
3044048MedicaidOH
4805205OtherOHDODD

Other names 1

  • Mrs. Mary Karen Radzinski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.147510-OHMDCase Management Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275955200000",
    "number": "1144540550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6056 BURRWOOD DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601001",
            "telephone_number": "419-349-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6056 BURRWOOD DR",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435601001",
            "telephone_number": "419-349-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMOGYE",
        "first_name": "MARY",
        "middle_name": "KAREN",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "RN.147510-",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODJFS MEDICAID",
            "identifier": "3044048",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3044048",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DODD",
            "identifier": "4805205",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RADZINSKI",
            "middle_name": "KAREN",
            "prefix": "MRS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.