Organization Active NPI

Nesdininc.

  • Nephrology Physician
  • Elyria, OH
National Provider Identifier
1275722894
Registry record updated Jan 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35074130 Issued in OH
Legal business name
NESDININC.
Practice address
5311 Meadow Lane CT
Ste 3
Elyria, OH 44035-1485
Phone
(440) 934-5443
Fax
(440) 934-1077
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2011

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

Authorized official

Name
Dr. Nestor G Gayomali, MD
Title
Owner
Phone
(440) 934-5443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 35074130 OH Primary

Addresses

Primary practice location

5311 Meadow Lane CT
Ste 3
Elyria, OH 44035-1485

Mailing address

PO Box 296
Avon Lake, OH 44012-0296
Phone (440) 934-5443

Other names 1

  • NESDININC. Other name

National Provider Directory

National Provider Directory

Locations

5311 Meadow Lane Ct
Ste 3
Sheffield Village, OH 44035
Phone (440) 930-8645

NPI Registry JSON

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1275722894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "AVON LAKE",
            "state": "OH",
            "postal_code": "440120296",
            "telephone_number": "440-934-5443",
            "fax_number": "440-934-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5311 MEADOW LANE CT",
            "address_2": "STE 3",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440351485",
            "telephone_number": "440-934-5443",
            "fax_number": "440-934-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NESDININC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "GAYOMALI",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-934-5443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35074130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NESDININC.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; 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.