Organization Active NPI

Pastor Medical Group Doctors for Adults Inc

  • Internal Medicine Physician
  • Fairfield, OH
National Provider Identifier
1447297312
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Authorized official

Name
Silvia Elizabeth Pastor-Iturricha, MDNPI 1023057486
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2490906MedicaidOH
DA5113OtherOHRR MEDICARE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.