NPIMap

Individual provider Active NPI

Veselin Dimitrov, MD

  • Emergency Medicine Physician
  • Willard, OH
National Provider Identifier
1194831495
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35076535 Issued in OH
Practice address
110 E Howard St
Willard, OH 44890-1611
Phone
(800) 514-1494
NPI assigned
Aug 21, 2006
Last updated
Jan 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35076535 OH Primary

Addresses

Primary practice location

110 E Howard St
Willard, OH 44890-1611

Mailing address

6400 Atlantic Blvd
Jacksonville, FL 32211-8768
Phone (800) 639-0579

Other identifiers 3

IdentifierTypeStateIssuer
000000187190OtherOHBCBS
P00168177OtherRR MCR
2159686MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031119000234 OH Practitioner - Family PracticePractitioner - Emergency Medicine 1355255753 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Tiffin Emergency Services, LLC Emergency Medicine Past Accepting new patients
Nes Ohio Inc Emergency Medicine Past Accepting new patients
Midwest Emergency Management Ohio, Inc Emergency Medicine Past Accepting new patients
Ohio Em-I Medical Services Professional Association Emergency Medicine Past Accepting new patients
Midwest Emergency Services Ohio, Inc Emergency Medicine Past Accepting new patients
Nes of Shelby, Inc. Emergency Medicine Past Accepting new patients
Nes Ohio, Inc. Emergency Medicine Past Accepting new patients

Locations

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

921 E Franklin St
Kenton, OH 43326
Phone (419) 673-0761

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900

1100 Neal Zick Rd
Willard, OH 44890
Phone (419) 964-5000

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264550400000",
    "number": "1194831495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322118768",
            "telephone_number": "800-639-0579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E HOWARD ST",
            "city": "WILLARD",
            "state": "OH",
            "postal_code": "448901611",
            "telephone_number": "800-514-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMITROV",
        "first_name": "VESELIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35076535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000187190",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00168177",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2159686",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willard, OH

Sources for this page

Verify at the official NPI Registry.