Active NPI
Ontario Children'S Health
- Primary Care Clinic/Center
- Mansfield, OH
National Provider Identifier
1346419744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 35048163
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2255312 | Medicaid | OH | |
| 2024713 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI 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.