Organization Active NPI

Ontario Children'S Health

  • Primary Care Clinic/Center
  • Mansfield, OH
National Provider Identifier
1346419744
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35048163 Issued in OH
Legal business name
ONTARIO CHILDREN'S HEALTH
Practice address
2003 W 4TH St
Mansfield, OH 44906-1787
Phone
(419) 529-6285
Fax
(419) 529-3150
NPI assigned
Feb 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Dr. V. Diana Timperman, M.D.
Title
Physician
Phone
(419) 529-6285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35048163 OH Primary

Addresses

Primary practice location

2003 W 4TH St
Mansfield, OH 44906-1787

Mailing address

2003 W 4TH St
Mansfield, OH 44906-1787
Phone (419) 529-6285

Other identifiers 2

IdentifierTypeStateIssuer
2255312MedicaidOH
2024713MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1346419744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061787",
            "telephone_number": "419-529-6285",
            "fax_number": "419-529-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061787",
            "telephone_number": "419-529-6285",
            "fax_number": "419-529-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONTARIO CHILDREN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-29",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "TIMPERMAN",
        "authorized_official_first_name": "V. DIANA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-529-6285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35048163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2255312",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024713",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.