NPIMap

Organization Active NPI

Mercy Health Physicians Lorain Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Sandusky, OH
National Provider Identifier
1194487470
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC
Practice address
2819 Hayes Ave Ste 6
Sandusky, OH 44870-5391
Phone
(440) 930-6015
Fax
(440) 930-6094
NPI assigned
Oct 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Wilbur Gay
Title
Cfo
Phone
(440) 930-6015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2819 Hayes Ave Ste 6
Sandusky, OH 44870-5391

Mailing address

PO Box 631334
Cincinnati, OH 45263-1334
Phone (888) 696-3541

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Physicians Lorain Specialty Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1194487470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631334",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631334",
            "telephone_number": "888-696-3541",
            "fax_number": "513-952-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 HAYES AVE STE 6",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705391",
            "telephone_number": "440-930-6015",
            "fax_number": "440-930-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "440-930-6015"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.