Active NPI
Paul Victor Miotto, MD
- Family Medicine Physician
- North Ridgeville, OH
National Provider Identifier
1427019678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35-061718
- Practice address
- 39000 Center Ridge Rd
North Ridgeville, OH 44039-2742 - Phone
- (440) 329-7490
- Fax
- (440) 329-7492
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 35-061718 | OH | |
| Family Medicine Physician | 207Q00000X | 35-061718 | OH | Primary |
Addresses
Primary practice location
39000 Center Ridge Rd
North Ridgeville, OH 44039-2742
Mailing address
39000 Center Ridge Rd
North Ridgeville, OH 44039-2742
Phone (440) 329-7490
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000339416 | Other | OH | ANTHEM |
| 0114094 | Medicaid | OH | |
| 26420000 | Other | OH | DEPT OF LABOR |
| 264200000 | Other | OH | FEDERAL BLACK LUNG |
| 6600162 | Other | OH | UNITED HEALTHCARE |
| 80507 | Other | OH | QUALCHOICE |
| 341425870042 | Other | OH | MEDICAL MUTUAL OF OHIO |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-061718 | OH | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System Inc. | Past | Accepting new patients | |
| Lake Hospital System | Past | Accepting new patients | |
| Lake Hospital System, Inc | Family Medicine | Past | Accepting new patients |
| Lake Hospital System Inc | Past | Accepting new patients | |
| Lake Hospital System, Inc | Family Medicine | Past | Accepting new patients |
| Lake Hospital System Inc. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- pmiotto37218@ehrdirect.uhhospitals.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1427019678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39000 CENTER RIDGE RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440392742",
"telephone_number": "440-329-7490",
"fax_number": "440-329-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 CENTER RIDGE RD",
"city": "NORTH RIDGEVILLE",
"state": "OH",
"postal_code": "440392742",
"telephone_number": "440-329-7490",
"fax_number": "440-329-7492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIOTTO",
"first_name": "PAUL",
"middle_name": "VICTOR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OH",
"license": "35-061718",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35-061718",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000339416",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0114094",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "26420000",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BLACK LUNG",
"identifier": "264200000",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "6600162",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "80507",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "341425870042",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Ridgeville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.