NPIMap

Organization Active NPI

Mercy Medical Associates, LLC

  • General Acute Care Hospital
  • Urbana, OH
National Provider Identifier
1457568420
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MERCY MEDICAL ASSOCIATES, LLC
Practice address
900 Scioto St
Mercy Medical Building Suite 1
Urbana, OH 43078-2251
Phone
(937) 484-6784
Fax
(937) 484-6531
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Gregory Peter Carozza, D.O.
Title
Orthopedic Surgery Resident
Phone
(614) 851-1144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X OH Primary

Addresses

Primary practice location

900 Scioto St
Mercy Medical Building Suite 1
Urbana, OH 43078-2251

Mailing address

900 Scioto St
Mercy Medical Building Suite 1
Urbana, OH 43078-2251
Phone (937) 484-6784

Other identifiers 2

IdentifierTypeStateIssuer
3080455MedicaidOH
P00919596OtherOHMEDICARE RR

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Ctr Mason4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1457568420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SCIOTO ST",
            "address_2": "MERCY MEDICAL BUILDING SUITE 1",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782251",
            "telephone_number": "937-484-6784",
            "fax_number": "937-484-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SCIOTO ST",
            "address_2": "MERCY MEDICAL BUILDING SUITE 1",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782251",
            "telephone_number": "937-484-6784",
            "fax_number": "937-484-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "CAROZZA",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "ORTHOPEDIC SURGERY RESIDENT",
        "authorized_official_telephone_number": "614-851-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3080455",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00919596",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.