Organization Active NPI

Nicholas V Rimedio

Doing business as Tallmadge Primary Care Physicians, LLC

  • Primary Care Clinic/Center
  • Munroe Falls, OH
National Provider Identifier
1174703169
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
34001482 Issued in OH
Legal business name
NICHOLAS V RIMEDIO
Doing business as
Tallmadge Primary Care Physicians, LLC
Practice address
38 Munroe Falls Ave
Munroe Falls, OH 44262-1538
Phone
(330) 686-6609
Fax
(330) 686-6634
NPI assigned
Nov 7, 2007
Last updated
Feb 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Nicholas V Rimedio, D.O.
Title
Owner
Phone
(330) 686-6609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 34001482 OH Primary

Addresses

Primary practice location

38 Munroe Falls Ave
Munroe Falls, OH 44262-1538

Mailing address

38 Munroe Falls Ave
Munroe Falls, OH 44262-1538
Phone (330) 686-6609

Other identifiers 1

IdentifierTypeStateIssuer
2158392MedicaidOH

Other names 1

  • Tallmadge Primary Care Physicians, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

38 Munroe Falls Ave
Munroe Falls, OH 44262
Phone (330) 686-6609

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1174703169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 MUNROE FALLS AVE",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621538",
            "telephone_number": "330-686-6609",
            "fax_number": "330-686-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 MUNROE FALLS AVE",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621538",
            "telephone_number": "330-686-6609",
            "fax_number": "330-686-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS V RIMEDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "RIMEDIO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-686-6609",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34001482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158392",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallmadge Primary Care Physicians, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munroe Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.