NPIMap

Individual provider Active NPI

Richard Lee Catterlin, D.O.

  • Family Medicine Physician
  • Mineral Ridge, OH
National Provider Identifier
1477548501
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-3053 Issued in OH
Practice address
1360 N Canfield Niles Rd
Mineral Ridge, OH 44440-9600
Phone
(330) 652-6556
Fax
(330) 652-6390
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34-00-3053 OH Primary

Addresses

Primary practice location

1360 N Canfield Niles Rd
Mineral Ridge, OH 44440-9600

Mailing address

1360 N Canfield Niles Rd
Mineral Ridge, OH 44440-9600
Phone (330) 652-6556

Other identifiers 2

IdentifierTypeStateIssuer
H178130OtherOHMEDICARE PTAN
0450131MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101028001481 OH Practitioner - Family Practice 5294929733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Physicians and Surgeons (Iowa), 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Youngstown, LLCGroup PAC ID 9234318270, 116 clinicians

Practice addresses (Care Compare)

1044 Belmont Ave
Youngstown, OH 44504-1006

1360 N Canfield Niles Rd
Mineral Ridge, OH 44440-9600
Phone (330) 652-6556

Hospital & facility affiliations

  • Hospice of the Valley, Inc Hospice, Girard, OH, CCN 361538
  • MH St Elizabeth Youngstown Hospital Hospital, Youngstown, OH, CCN 360064
  • MH St Joseph Warren Hospital Hospital, Warren, OH, CCN 360161
  • HMHP St Elizabeth Boardman Health Center Hospital, Boardman, OH, CCN 360276
  • Aventura at Humility House Nursing home, Austintown, OH, CCN 366186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3053OHMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Youngstown LLC CurrentSince Apr 28, 2013 Accepting new patients
Mercy Health Physicians Youngstown, LLC Family Medicine Current Accepting new patients
Aventura at Humility House LLC Past Accepting new patients

Locations

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

1360 N Canfield Niles Rd
Mineral Ridge, OH 44440
Phone (330) 652-6556

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: rcatterlin34586@direct.bsmhealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1477548501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N CANFIELD NILES RD",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409600",
            "telephone_number": "330-652-6556",
            "fax_number": "330-652-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N CANFIELD NILES RD",
            "city": "MINERAL RIDGE",
            "state": "OH",
            "postal_code": "444409600",
            "telephone_number": "330-652-6556",
            "fax_number": "330-652-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATTERLIN",
        "first_name": "RICHARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-3053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H178130",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineral Ridge, OH

Sources for this page

Verify at the official NPI Registry.