Active NPI
Northern Ohio Arthritis Center, Inc
- Rheumatology Physician
- Avon, OH
National Provider Identifier
1295915569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 35054958
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0738063 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.