Active NPI
Andrew Richard Nara, MD
- Cardiovascular Disease Physician
- Chardon, OH
National Provider Identifier
1477596971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 3504398
- Practice address
- 100 7TH Ave
Chardon, OH 44024-7804 - Phone
- (440) 285-2300
- Fax
- (440) 285-2320
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 3504398 | OH | Primary |
Addresses
Primary practice location
100 7TH Ave
Chardon, OH 44024-7804
Mailing address
10478 Wilson Mills Rd
Chardon, OH 44024-9782
Phone (440) 286-6808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0496280 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3504398 | OH | MD | Cardiovascular Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1477596971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10478 WILSON MILLS RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440249782",
"telephone_number": "440-286-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 7TH AVE",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247804",
"telephone_number": "440-285-2300",
"fax_number": "440-285-2320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NARA",
"first_name": "ANDREW",
"middle_name": "RICHARD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "3504398",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0496280",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.