NPIMap

Organization Active NPI

Mercy Health Physicians Lorain Specialty Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Vermilion, OH
National Provider Identifier
1255063145
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC
Practice address
1605 State Rd Ste 8
Vermilion, OH 44089-9141
Phone
(440) 930-6015
Fax
(440) 930-6094
NPI assigned
Jun 29, 2022
Last updated
Jun 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Authorized official

Name
Wilbur Gay
Title
Cfo
Phone
(864) 605-3762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

1605 State Rd Ste 8
Vermilion, OH 44089-9141

Mailing address

PO Box 631334
Cincinnati, OH 45263-1334
Phone (888) 696-3541

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Physicians Lorain Specialty Care LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1025 W 23rd St
Lorain, OH 44052
Phone (440) 246-2187

1201 Nebraska Ave
Lorain, OH 44052
Phone (440) 370-5446

2321 Fairless Dr
Lorain, OH 44055
Phone (440) 277-7263

305 Louisiana Ave
Lorain, OH 44052
Phone (440) 288-1002

3600 Kolbe Rd
Ste 109
Lorain, OH 44053
Phone (440) 960-3304

3600 Kolbe Rd
Ste 203
Lorain, OH 44053
Phone (440) 892-1440

3600 Kolbe Rd
Ste 223
Lorain, OH 44053
Phone (440) 222-4661

5327 Detroit Rd
Sheffield Village, OH 44054
Phone (440) 365-2600

1605 State Route 60
Ste 8
Vermilion, OH 44089
Phone (440) 967-8713

Practitioners & affiliated clinicians

Practitioners 245

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.

View all 245

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1255063145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631334",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631334",
            "telephone_number": "888-696-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 STATE RD STE 8",
            "city": "VERMILION",
            "state": "OH",
            "postal_code": "440899141",
            "telephone_number": "440-930-6015",
            "fax_number": "440-930-6094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-605-3762"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vermilion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; 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.