NPIMap

Organization Active NPI

Ohio Post-Acute Medical Services 1 Inc

  • Family Medicine Physician
  • Englewood, OH
National Provider Identifier
1215475199
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OHIO POST-ACUTE MEDICAL SERVICES 1 INC
Practice address
425 Lauricella CT
Englewood, OH 45322
Phone
(937) 836-5143
NPI assigned
Feb 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
William Cole, MDNPI 1417901299
Title
President
Phone
(856) 686-4316

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

425 Lauricella CT
Englewood, OH 45322

Mailing address

307 S Evergreen Ave
Woodbury, NJ 08096-2739
Phone (856) 686-4316

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170405002175 OH Part B Supplier - Clinic/Group Practice 5991081911 Receives reassigned benefits from 19 practitioners
Practice locations: Edgerton, OH; Dayton, OH; Englewood, OH; Fairborn, OH; Montgomery, OH; North Canton, OH; Piqua, OH; Toledo, OH…

National Provider Directory

National Provider Directory

Locations

3854 Park Overlook Dr
Beavercreek, OH 45431
Phone (937) 296-1550

1974 Old Fairfield Rd
Beavercreek, OH 45432
Phone (937) 429-1106

4960 US Highway 35 E
Jamestown, OH 45335
Phone (937) 675-3311

6400 S County Road 25A
Tipp City, OH 45371
Phone (934) 506-0189

4375 S County Road 25A
Tipp City, OH 45371
Phone (937) 667-1811

4420 South Ave
Toledo, OH 43615
Phone (419) 531-4201

1621 S Byrne Rd
Toledo, OH 43614
Phone (419) 385-3958

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1215475199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739",
            "telephone_number": "856-686-4316",
            "fax_number": "865-291-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 LAURICELLA CT",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "45322",
            "telephone_number": "937-836-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO POST-ACUTE MEDICAL SERVICES 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-686-4316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.