Mid Ohio Infectious Diseases Clinic LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

35093594 Issued in OH

Legal business name

MID OHIO INFECTIOUS DISEASES CLINIC LLC

Practice address

630 Lexington Ave
Mansfield, OH 44907-1500

Phone

(412) 708-1608

NPI assigned

Jul 16, 2009

Last updated

Jul 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Uchenna A Ezike, MDNPI 1073630893

Title

Owner/President

Phone

(412) 708-1608

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Uchenna A Ezike, M.D

  • Infectious Disease Physician
  • Mansfield, OH
  • NPI 1073630893
  NPD Authorized official

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1164652822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5096",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449015096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071500",
            "telephone_number": "412-708-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID OHIO INFECTIOUS DISEASES CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "EZIKE",
        "authorized_official_first_name": "UCHENNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "412-708-1608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35093594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ann Metzger, COTAL
• Brittany Metzler, APRN
• Samantha M. Meyer
• Michael R Leech DDS and Associates, Inc
• Mid Ohio Emergency Physicians LLP
• Mid West Sleep Consultants, LLC
• Mid-Ohio Educational Service Center
• Mid-Ohio Emergency Group, LLC
• Mid-Ohio Heart Clinic, Inc.
• Mid-Ohio Home Health Services,LTD

• Medical Specialty Clinic/Center in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.