NPIMap

Organization Active NPI

Fabio Ochoa, M.D

  • Rheumatology Physician
  • Warren, OH
National Provider Identifier
1164550794
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35-03-4629 Issued in OH
Legal business name
FABIO OCHOA, M.D
Practice address
1716 North Rd SE
Warren, OH 44484-2907
Phone
(330) 399-9776
Fax
(330) 399-8665
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Dr. Fabio V Ochoa, M.D.
Title
Owner
Phone
(330) 399-9776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 35-03-4629 OH Primary

Addresses

Primary practice location

1716 North Rd SE
Warren, OH 44484-2907

Mailing address

1716 North Rd SE
Warren, OH 44484-2907
Phone (330) 399-9776

Other identifiers 1

IdentifierTypeStateIssuer
0199584MedicaidOH

Other names 1

  • Center For Arthritis of Warren, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

4200 Warrensville Center Rd
Ste 425
Beachwood, OH 44122
Phone (216) 921-1113

5000 E Market St
Ste 18
Warren, OH 44484

1716 North Rd SE
Warren, OH 44484
Phone (330) 399-9776

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1164550794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 NORTH RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842907",
            "telephone_number": "330-399-9776",
            "fax_number": "330-399-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 NORTH RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842907",
            "telephone_number": "330-399-9776",
            "fax_number": "330-399-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FABIO OCHOA, M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "OCHOA",
        "authorized_official_first_name": "FABIO",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-399-9776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35-03-4629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0199584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Arthritis of Warren, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.