Active NPI
M Razi Rafeeq MD Inc
- Specialist
- Oregon, OH
National Provider Identifier
1205024494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35047541R
- Legal business name
- M RAZI RAFEEQ MD INC
- Practice address
- 1050 Isaac Streets Dr Ste 128
Oregon, OH 43616-3243 - Phone
- (419) 693-2230
- Fax
- (419) 693-2602
- NPI assigned
- Oct 12, 2007
- Last updated
- Aug 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sueann Elizabeth Gelacek
- Title
- Office Manager
- Phone
- (419) 693-2230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35047541R | OH | Primary |
Addresses
Primary practice location
1050 Isaac Streets Dr Ste 128
Oregon, OH 43616-3243
Mailing address
1050 Isaac Streets Dr Ste 128
Oregon, OH 43616-3243
Phone (419) 693-2230
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0493756 | Medicaid | OH | |
| 4836490 | Medicaid | MI | |
| 00088 | Other | OH | PARAMOUNT HEALTH CARE |
| 600655 | Other | OH | BUCKEYE COMMUNITY HEALTH |
| 000000137276 | Other | OH | ANTHEM |
| 206565077002 | Other | OH | MEDICAL MUTUAL OF OHIO |
National Provider Directory
National Provider DirectoryLocations
1050 Isaac Streets Dr
Ste 128
Oregon, OH 43616
Phone (419) 693-2230
1050 Issac Sts
Oregon, OH 43616
Phone (419) 693-2230
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Allergy & Immunology Physician
- Maumee, OH
- NPI 1013321256
-
- Family Nurse Practitioner
- Maumee, OH
- NPI 1578292587
-
- Allergy & Immunology Physician
- Maumee, OH
- NPI 1639565401
-
- Neurology Physician
- Oregon, OH
- NPI 1215935846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282780800000",
"number": "1205024494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 ISAAC STREETS DR STE 128",
"city": "OREGON",
"state": "OH",
"postal_code": "436163243",
"telephone_number": "419-693-2230",
"fax_number": "419-693-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 ISAAC STREETS DR STE 128",
"city": "OREGON",
"state": "OH",
"postal_code": "436163243",
"telephone_number": "419-693-2230",
"fax_number": "419-693-2602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M RAZI RAFEEQ MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-12",
"last_updated": "2010-08-26",
"status": "A",
"authorized_official_last_name": "GELACEK",
"authorized_official_first_name": "SUEANN",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "419-693-2230",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35047541R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0493756",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4836490",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT HEALTH CARE",
"identifier": "00088",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE COMMUNITY HEALTH",
"identifier": "600655",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000137276",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "206565077002",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oregon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.