Organization Active NPI

Orthopedic Associates of N Ohio Inc

  • Ophthalmology Physician
  • Warrensville HTS, OH
National Provider Identifier
1164409405
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ORTHOPEDIC ASSOCIATES OF N OHIO INC
Practice address
4100 Warrensville Center Rd
Suite 201
Warrensville HTS, OH 44122
Phone
(216) 367-1850
Fax
(216) 295-0670
NPI assigned
Dec 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Richard R Masin, DO
Title
President
Phone
(216) 475-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X OH Primary

Addresses

Primary practice location

4100 Warrensville Center Rd
Suite 201
Warrensville HTS, OH 44122

Mailing address

3645 Warrensville Center Rd
Suite 120
Shaker HTS, OH 44122-5247
Phone (216) 367-1850

Other identifiers 1

IdentifierTypeStateIssuer
0483061MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1164409405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 120",
            "city": "SHAKER HTS",
            "state": "OH",
            "postal_code": "441225247",
            "telephone_number": "216-367-1850",
            "fax_number": "216-295-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 201",
            "city": "WARRENSVILLE HTS",
            "state": "OH",
            "postal_code": "44122",
            "telephone_number": "216-367-1850",
            "fax_number": "216-295-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF N OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "MASIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-475-2663",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0483061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.