Organization Active NPI

Northern Ohio Arthritis Center, Inc

  • Rheumatology Physician
  • Avon, OH
National Provider Identifier
1295915569
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35054958 Issued in OH
Legal business name
NORTHERN OHIO ARTHRITIS CENTER, INC
Practice address
36855 American Way
Ste a
Avon, OH 44011-4054
Phone
(440) 934-2200
Fax
(440) 934-2213
NPI assigned
Nov 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Robert Stephen Perhala, MD
Title
Physician
Phone
(440) 934-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 35054958 OH Primary

Addresses

Primary practice location

36855 American Way
Ste a
Avon, OH 44011-4054

Mailing address

36855 American Way
Ste a
Avon, OH 44011-4054
Phone (440) 934-2200

Other identifiers 1

IdentifierTypeStateIssuer
0738063MedicaidOH

National Provider Directory

National Provider Directory

Locations

36855 American Way
Ste A
Avon, OH 44011
Phone (440) 522-8673

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1295915569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36855 AMERICAN WAY",
            "address_2": "STE A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114054",
            "telephone_number": "440-934-2200",
            "fax_number": "440-934-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36855 AMERICAN WAY",
            "address_2": "STE A",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440114054",
            "telephone_number": "440-934-2200",
            "fax_number": "440-934-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN OHIO ARTHRITIS CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "PERHALA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "440-934-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35054958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0738063",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.