NPIMap

Organization Active NPI

Meridia Medical Group, LLC

  • Durable Medical Equipment & Medical Supplies
  • Madison, OH
National Provider Identifier
1194900803
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERIDIA MEDICAL GROUP, LLC
Practice address
2999 McMackin Rd
Madison, OH 44057-2330
Phone
(440) 428-1111
NPI assigned
Jan 2, 2008
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Michael O'Connell
Title
Vice President
Phone
(216) 761-3582

Specialties & licenses 1

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

Addresses

Primary practice location

2999 McMackin Rd
Madison, OH 44057-2330

Mailing address

275 Springside Dr Ste 100
Akron, OH 44333-4549

Other identifiers 1

IdentifierTypeStateIssuer
2746461MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Meridia Medical Group 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.

Locations

275 Springside Dr
Ste 100
Akron, OH 44333
Phone (234) 466-4083

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1194900803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SPRINGSIDE DR STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443334549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 MCMACKIN RD",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572330",
            "telephone_number": "440-428-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIA MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "O'CONNELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "216-761-3582"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2746461",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.