Ravinder Nath, M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35042959N Issued in OH

Legal business name

RAVINDER NATH, M.D. INC.

Practice address

1280 Boardman Canfield Rd
Boardman, OH 44512-4073

Phone

(330) 726-9582

Fax

(330) 726-9769

NPI assigned

Feb 18, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen M Carlson

Title

Office Manager

Phone

(330) 726-9582

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1356580179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124073",
            "telephone_number": "330-726-9582",
            "fax_number": "330-726-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124073",
            "telephone_number": "330-726-9582",
            "fax_number": "330-726-9769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVINDER NATH, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-726-9582",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35042959N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0398314",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall M .Maceyko, OD
• Nicole M Ranttila, PSY.D
• Cara Gevah Rasor, BS, (MSED CANDIDATE)
• Sarah Raspovic, OTR/L
• Rohit Vishwanath Rathinam Vijayapathi, M.D.
• Nicole Ruth Rawson, CNM
• Carrie J Rayl, COTA/L
• Anne Marie B Raymer
• Ready Set Medi Transport LLC
• Shannon Cynthia Reardon, DO

• Internal Medicine Physician in Boardman, OH
• Providers in Boardman, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.