Organization Active NPI

Parkman Road Medical Associates Inc

  • Obstetrics & Gynecology Physician
  • Warren, OH
National Provider Identifier
1205814977
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PARKMAN ROAD MEDICAL ASSOCIATES INC
Practice address
2390 Parkman Rd NW
Warren, OH 44485-1774
Phone
(330) 373-1414
Fax
(330) 399-5041
NPI assigned
Jan 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paresh G MehtaNPI 1669459756
Title
President
Phone
(330) 373-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

2390 Parkman Rd NW
Warren, OH 44485-1774

Mailing address

2390 Parkman Rd NW
Warren, OH 44485-1774
Phone (330) 373-1414

Other identifiers 1

IdentifierTypeStateIssuer
0349359MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103000749 OH Part B Supplier - Clinic/Group Practice 5890989842 Receives reassigned benefits from 1 practitioner
Practice locations: Warren, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0723018Parkman Road Medical Associates Inc2390 Parkman Road Northwest, Warren, OH 44485ComplianceMay 8, 2027

National Provider Directory

National Provider Directory

Locations

2390 Parkman Rd NW
Warren, OH 44485
Phone (330) 373-1414

Practitioners & affiliated clinicians

Practitioners 5

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": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205814977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2390 PARKMAN RD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444851774",
            "telephone_number": "330-373-1414",
            "fax_number": "330-399-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 PARKMAN RD NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444851774",
            "telephone_number": "330-373-1414",
            "fax_number": "330-399-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKMAN ROAD MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "PARESH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-373-1414"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0349359",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.