Organization Active NPI

Ohio Sleep Disorders

  • Sleep Disorder Diagnostic Clinic/Center
  • Medina, OH
National Provider Identifier
1174575146
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
Legal business name
OHIO SLEEP DISORDERS
Practice address
3985 Medina Rd
Suite 200
Medina, OH 44256-5968
Phone
(888) 328-4472
Fax
(330) 493-7123
NPI assigned
May 17, 2006
Last updated
May 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Authorized official

Name
Rebecca Ross
Title
Office Manager
Phone
(330) 376-1902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X Primary

Addresses

Primary practice location

3985 Medina Rd
Suite 200
Medina, OH 44256-5968

Mailing address

PO Box 1737
Akron, OH 44309-1737
Phone (888) 328-4472

Other identifiers 1

IdentifierTypeStateIssuer
2352109MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1174575146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1737",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443091737",
            "telephone_number": "888-328-4472",
            "fax_number": "330-493-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 MEDINA RD",
            "address_2": "SUITE 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565968",
            "telephone_number": "888-328-4472",
            "fax_number": "330-493-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO SLEEP DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-376-1902"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2352109",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.