Organization Active NPI

Mid-West Vascular Institute Inc

  • Vascular Surgery Physician
  • Lima, OH
National Provider Identifier
1477590305
Registry record updated Jun 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
84224 Issued in OH
Legal business name
MID-WEST VASCULAR INSTITUTE INC
Practice address
1003 Bellefontaine Ave
Suite 150
Lima, OH 45804-2800
Phone
(419) 998-8207
Fax
(419) 998-8208
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2008

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

Authorized official

Name
Dr. Ronald R Magee, MD
Title
President
Phone
(419) 998-8207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X 84224 OH Primary

Addresses

Primary practice location

1003 Bellefontaine Ave
Suite 150
Lima, OH 45804-2800

Mailing address

1003 Bellefontaine Ave
Suite 150
Lima, OH 45804-2800
Phone (419) 998-8207

Other identifiers 1

IdentifierTypeStateIssuer
DD5495OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214006400000",
    "number": "1477590305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 BELLEFONTAINE AVE",
            "address_2": "SUITE 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-8207",
            "fax_number": "419-998-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 BELLEFONTAINE AVE",
            "address_2": "SUITE 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-8207",
            "fax_number": "419-998-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-WEST VASCULAR INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-06-21",
        "status": "A",
        "authorized_official_last_name": "MAGEE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-998-8207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "84224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD5495",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.