Organization Active NPI

Sandusky Rheumatology, Inc

  • Rheumatology Physician
  • Sandusky, OH
National Provider Identifier
1366891343
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
35068994 Issued in OH
Legal business name
SANDUSKY RHEUMATOLOGY, INC
Practice address
2500 W Strub Rd
BLDG 1, Suite B
Sandusky, OH 44870-5390
Phone
(567) 998-3900
Fax
(567) 998-3899
NPI assigned
Jun 9, 2016
Last updated
Apr 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Authorized official

Name
Dr. Matthew E Morrow, MD
Title
President
Phone
(567) 998-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 35068994 OH Primary

Addresses

Primary practice location

2500 W Strub Rd
BLDG 1, Suite B
Sandusky, OH 44870-5390

Mailing address

2500 W Strub Rd
BLDG 1, Suite B
Sandusky, OH 44870-5390
Phone (567) 998-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170302000588 OH Part B Supplier - Clinic/Group Practice 4284918632 Receives reassigned benefits from 3 practitioners
Practice locations: Sandusky, OH

National Provider Directory

National Provider Directory

Locations

2500 W Strub Rd
Ste B
Sandusky, OH 44870
Phone (567) 998-3900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1366891343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD",
            "address_2": "BLDG 1, SUITE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "567-998-3900",
            "fax_number": "567-998-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W STRUB RD",
            "address_2": "BLDG 1, SUITE B",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448705390",
            "telephone_number": "567-998-3900",
            "fax_number": "567-998-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDUSKY RHEUMATOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-09",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "567-998-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OH",
            "license": "35068994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.