Active NPI
Pastor Medical Group Doctors for Adults Inc
- Internal Medicine Physician
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PASTOR MEDICAL GROUP DOCTORS FOR ADULTS INC
- Practice address
- 5966 Boymel Dr
Unit 1
Fairfield, OH 45014 - Phone
- (513) 939-0333
- Fax
- (513) 939-0444
- NPI assigned
- Jun 1, 2006
- Last updated
- Apr 17, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Silvia Elizabeth Pastor-Iturricha, MD
- Title
- President
- Phone
- (513) 939-0333
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
5966 Boymel Dr
Unit 1
Fairfield, OH 45014
Mailing address
PO Box 691924
Cincinnati, OH 45269-1924
Phone (513) 939-0333
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2490906 | Medicaid | OH | |
| DA5113 | Other | OH | RR MEDICARE |
National Provider Directory
National Provider DirectoryLocations
2334 Mack Rd
Fairfield, OH 45014
Phone (513) 939-0333
5966 Boymel Dr
Unit 1
Fairfield, OH 45014
Phone (513) 880-0016
5986 Boymel Dr
Fairfield, OH 45014
Phone (513) 939-0333
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.
-
- Internal Medicine Physician
- Fairfield, OH
- NPI 1023057486
-
- Physician Assistant
- Cincinnati, OH
- NPI 1023296159
-
- Medical Physician Assistant
- Concord, NH
- NPI 1790763340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208390400000",
"number": "1447297312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 691924",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452691924",
"telephone_number": "513-939-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5966 BOYMEL DR",
"address_2": "UNIT 1",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "45014",
"telephone_number": "513-939-0333",
"fax_number": "513-939-0444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASTOR MEDICAL GROUP DOCTORS FOR ADULTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2008-04-17",
"status": "A",
"authorized_official_last_name": "PASTOR-ITURRICHA",
"authorized_official_first_name": "SILVIA",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "513-939-0333",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2490906",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "DA5113",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.