Individual provider Active NPI

John Ovid Vlad, M.D.

  • Pediatrics Physician
  • Warren, OH
National Provider Identifier
1528051471
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35024361V Issued in OH
Practice address
2219 E Market St
Warren, OH 44483-6105
Phone
(330) 841-7332
Fax
(330) 841-7329
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35024361V OH Primary

Addresses

Primary practice location

2219 E Market St
Warren, OH 44483-6105

Mailing address

2219 E Market St
Warren, OH 44483-6105
Phone (330) 841-7332

Other identifiers 1

IdentifierTypeStateIssuer
0048460MedicaidOH

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35024361VOHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John O. Vlad MD, Inc. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jvlad35082@direct.bsmhealth.org
  • Direct secure messaging: vlad_john@a369a136.micromddirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1528051471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836105",
            "telephone_number": "330-841-7332",
            "fax_number": "330-841-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836105",
            "telephone_number": "330-841-7332",
            "fax_number": "330-841-7329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLAD",
        "first_name": "JOHN",
        "middle_name": "OVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35024361V",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048460",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.