Individual provider Active NPI

Debra Jean Celec, DO

  • Family Medicine Physician
  • Ontario, OH
National Provider Identifier
1376603753
Registry record updated Jun 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-5282 Issued in OH
Practice address
1987 W 4TH St Suite 200
Ontario, OH 44906
Phone
(419) 564-4299
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 34-00-5282 OH
Family Medicine Physician 207Q00000X 34-00-5282 OH Primary

Addresses

Primary practice location

1987 W 4TH St Suite 200
Ontario, OH 44906

Mailing address

4565 Appleseed Rd
Bellville, OH 44813-9178
Phone (419) 564-4299

Other practice location 1

4565 Appleseed Rd
Bellville, OH 44813-9178
Phone (419) 564-4299

Other identifiers 1

IdentifierTypeStateIssuer
0875816MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560643200000",
    "number": "1376603753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4565 APPLESEED RD",
            "city": "BELLVILLE",
            "state": "OH",
            "postal_code": "448139178",
            "telephone_number": "419-564-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 W 4TH ST SUITE 200",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "44906",
            "telephone_number": "419-564-4299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4565 Appleseed Rd",
            "address_purpose": "LOCATION",
            "city": "Bellville",
            "state": "OH",
            "postal_code": "448139178",
            "country_code": "US",
            "telephone_number": "419-564-4299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELEC",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2019-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "34-00-5282",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-5282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0875816",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2019; 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.