Organization Active NPI

Grenville Machado M.D.,Inc

  • Family Medicine Physician
  • Copley, OH
National Provider Identifier
1376649483
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRENVILLE MACHADO M.D.,INC
Practice address
2839 Copley Rd
Copley, OH 44321-2154
Phone
(330) 666-2022
NPI assigned
Sep 15, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Grenville MachadoNPI 1861476608
Title
President
Phone
(330) 666-2022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

2839 Copley Rd
Copley, OH 44321-2154

Mailing address

2839 Copley Rd
Copley, OH 44321-2154

Other identifiers 1

IdentifierTypeStateIssuer
2718581MedicaidOH

National Provider Directory

National Provider Directory

Locations

2839 Copley Rd
Copley, OH 44321
Phone (330) 666-2022

Practitioners & affiliated clinicians

Practitioners 5

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1376649483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2839 COPLEY RD",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443212154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2839 COPLEY RD",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443212154",
            "telephone_number": "330-666-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRENVILLE MACHADO M.D.,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "MACHADO",
        "authorized_official_first_name": "GRENVILLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-666-2022"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2718581",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Copley, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.