Organization Active NPI

M Razi Rafeeq MD Inc

  • Specialist
  • Oregon, OH
National Provider Identifier
1205024494
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35047541R Issued in OH
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0493756MedicaidOH
4836490MedicaidMI
00088OtherOHPARAMOUNT HEALTH CARE
600655OtherOHBUCKEYE COMMUNITY HEALTH
000000137276OtherOHANTHEM
206565077002OtherOHMEDICAL MUTUAL OF OHIO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.