NPIMap

Organization Active NPI

Terra Nova Medical Clinic

  • Clinic/Center
  • Findlay, OH
National Provider Identifier
1235436189
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
35.92245 Issued in OH
Legal business name
TERRA NOVA MEDICAL CLINIC
Practice address
655 Fox Run Rd Ste E
Findlay, OH 45840-8401
Phone
(419) 424-0815
Fax
(419) 424-1405
NPI assigned
Feb 11, 2011
Last updated
Feb 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Authorized official

Name
Dr. Iyabo A Iboaya, MDNPI 1508846783
Title
Physician
Phone
(419) 424-0815

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
Clinic/Center 261Q00000X 35.92245 OH Primary

Addresses

Primary practice location

655 Fox Run Rd Ste E
Findlay, OH 45840-8401

Mailing address

PO Box 525
Findlay, OH 45839-0525
Phone (419) 424-0815

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110328000286 OH Part B Supplier - Clinic/Group Practice 9739362815 Receives reassigned benefits from 6 practitioners
Practice locations: Findlay, OH

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIHFBD

Practitioners & affiliated clinicians

Practitioners 7

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": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1235436189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 525",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458390525",
            "telephone_number": "419-424-0815",
            "fax_number": "419-424-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 FOX RUN RD STE E",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458408401",
            "telephone_number": "419-424-0815",
            "fax_number": "419-424-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA NOVA MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "IBOAYA",
        "authorized_official_first_name": "IYABO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-424-0815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "35.92245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Findlay, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.