NPIMap

Organization Active NPI

Wakeman Area Family Care Center

  • Family Medicine Physician
  • Wakeman, OH
National Provider Identifier
1447201470
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35062083 Issued in OH
Legal business name
WAKEMAN AREA FAMILY CARE CENTER
Practice address
24 Hyde St
Wakeman, OH 44889-9301
Phone
(440) 839-2226
Fax
(440) 839-1339
NPI assigned
May 15, 2006
Last updated
Dec 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Laura Tanigawa
Title
Office Manager
Phone
(440) 839-2226

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50000956 OH
Family Nurse Practitioner 363LF0000X NP08465 OH
Family Medicine Physician 207Q00000X 35062083 OH Primary

Addresses

Primary practice location

24 Hyde St
Wakeman, OH 44889-9301

Mailing address

24 Hyde St
Wakeman, OH 44889-9301
Phone (440) 839-2226

Other identifiers 1

IdentifierTypeStateIssuer
2158481MedicaidOH

National Provider Directory

National Provider Directory

Locations

1355 W Main St
Ste D
Bellevue, OH 44811
Phone (419) 483-1001

521 N Sandusky St
Bellevue, OH 44811
Phone (419) 483-2190

280 Benedict Ave
#A
Norwalk, OH 44857
Phone (419) 668-0311

368 Milan Ave
Norwalk, OH 44857
Phone (419) 663-6464

Practitioners & affiliated clinicians

Practitioners 12

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": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1447201470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HYDE ST",
            "city": "WAKEMAN",
            "state": "OH",
            "postal_code": "448899301",
            "telephone_number": "440-839-2226",
            "fax_number": "440-839-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HYDE ST",
            "city": "WAKEMAN",
            "state": "OH",
            "postal_code": "448899301",
            "telephone_number": "440-839-2226",
            "fax_number": "440-839-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKEMAN AREA FAMILY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "TANIGAWA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-839-2226"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50000956",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "NP08465",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35062083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158481",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.