NPIMap

Organization Active NPI

Kristine Herrmann Pelagalli MD Inc

  • Specialist
  • Broadview HTS, OH
National Provider Identifier
1295990182
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35074513 Issued in OH
Legal business name
KRISTINE HERRMANN PELAGALLI MD INC
Practice address
1000 W Wallings Rd Ste C
Broadview HTS, OH 44147-1245
Phone
(440) 717-2000
Fax
(440) 717-2001
NPI assigned
Jul 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Mrs. Julie Maria Blair
Title
Billing Manager
Phone
(440) 371-1287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35074513 OH Primary

Addresses

Primary practice location

1000 W Wallings Rd Ste C
Broadview HTS, OH 44147-1245

Mailing address

1000 W Wallings Rd Ste C
Broadview HTS, OH 44147-1245
Phone (440) 717-2000

National Provider Directory

National Provider Directory

Locations

1000 W Wallings Rd
Ste C
Broadview Hts, OH 44147
Phone (440) 717-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1295990182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W WALLINGS RD STE C",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441471245",
            "telephone_number": "440-717-2000",
            "fax_number": "440-717-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W WALLINGS RD STE C",
            "city": "BROADVIEW HTS",
            "state": "OH",
            "postal_code": "441471245",
            "telephone_number": "440-717-2000",
            "fax_number": "440-717-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE HERRMANN PELAGALLI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "440-371-1287",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35074513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broadview HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.