Ashtabula Pulmonary Associates Inc
Organization Active NPI Internal Medicine Physician · Ashtabula, OH
NPI 1285634709 · NPPES record last updated Feb 12, 2010
Key facts
- NPI
- 1285634709
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 084570 (OH)
- Legal business name
- ASHTABULA PULMONARY ASSOCIATES INC
- Practice address
- 2121 Lake Ave
Ashtabula, OH 44004-3435 - Phone
- (440) 998-4775
- Fax
- (440) 998-5922
- NPI assigned
- Jul 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kati Molinoff
- Title
- Treasurer
- Phone
- (440) 275-3433
Practitioners 1
National Provider Directory
Locations
2121 Lake Ave
Ashtabula, OH 44004
Phone (440) 998-4775
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 084570 | OH | Yes |
Addresses
Primary practice location
2121 Lake Ave
Ashtabula, OH 44004-3435
Mailing address
PO Box 1435
Ashtabula, OH 44005-1435
Phone (440) 275-3433
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0541962 | Medicaid | OH | |
| 50055 | Other | OH | STATE MEDICAL BOARD |
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All providers in Ashtabula, OH · Internal Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.