Organization Active NPI

Med Consults, Inc.

  • Family Medicine Physician
  • Fairview Park, OH
National Provider Identifier
1447352653
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MED CONSULTS, INC.
Practice address
20455 Lorain Rd
#104
Fairview Park, OH 44126-3494
Phone
(440) 356-9844
Fax
(440) 356-0660
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Christopher K Smith
Title
Practice Administrator
Phone
(440) 356-9844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

20455 Lorain Rd
#104
Fairview Park, OH 44126-3494

Mailing address

20455 Lorain Rd
#104
Fairview Park, OH 44126-3494
Phone (440) 356-9844

Other identifiers 1

IdentifierTypeStateIssuer
0793100MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000221 OH Part B Supplier - Clinic/Group Practice 8224932884 Receives reassigned benefits from 1 practitioner
Practice locations: Fairview Park, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0872449Med Consults Inc20455 Lorain Road Suite 104, Fairview Park, OH 44126Certificate of waiverMar 21, 2028

National Provider Directory

National Provider Directory

Locations

20455 Lorain Rd
Ste 104
Fairview Park, OH 44126
Phone (440) 333-3590

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1447352653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "#104",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-356-9844",
            "fax_number": "440-356-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20455 LORAIN RD",
            "address_2": "#104",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441263494",
            "telephone_number": "440-356-9844",
            "fax_number": "440-356-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED CONSULTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "440-356-9844"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0793100",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.