Renato De Paz Querubin, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

35058175 Issued in OH

Practice address

3600 Kolbe Rd
Suite 222
Lorain, OH 44053-3173

Phone

(440) 282-7600

Fax

(440) 282-7711

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roman a Ringel MD Inc

  • Plastic and Reconstructive Surgery Physician
  • Lorain, OH
  • NPI 1275997553
  NPD

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1245297928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD STE 222",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440531652",
            "telephone_number": "440-282-7600",
            "fax_number": "440-282-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 KOLBE RD",
            "address_2": "SUITE 222",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440533173",
            "telephone_number": "440-282-7600",
            "fax_number": "440-282-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERUBIN",
        "first_name": "RENATO",
        "middle_name": "DE PAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "OH",
            "license": "35058175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0966361",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Pryor
• Gabrielle Puka
• Eric Z Purcel
• Rachel Pustulka, MA, CCC-SLP
• Betty Joanne Quattlebaum, L.P.N.
• Quiet Pines Counseling LLC
• Claribel Quiles, LISW
• Jeramey Quinn
• Isaac Quinones II
• Migdalia Quinones, CDCA

• Facial Plastic Surgery Physician in Lorain, OH
• Providers in Lorain, OH by specialty
• Facial Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.