Organization Active NPI

Flower Hospital

  • Physician Assistant
  • Sylvania, OH
National Provider Identifier
1528233632
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
FLOWER HOSPITAL
Practice address
5200 Harroun Rd
Flower Hospital PA
Sylvania, OH 43560-2168
Phone
(419) 824-1444
NPI assigned
Apr 29, 2008
Organization subpart
Yes
Parent organization
FLOWER HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Authorized official

Name
Lori McCune
Title
Credentialing Coordinator
Phone
(419) 843-8178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

5200 Harroun Rd
Flower Hospital PA
Sylvania, OH 43560-2168

Mailing address

5855 Monroe St
Sylvania, OH 43560-2269
Phone (419) 824-7264

Other identifiers 1

IdentifierTypeStateIssuer
0871525MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Eugenia Ilo DO3 organizations share this tax ID, including this one
Part of
Eugenia Ilo DO

Other organizations with this tax ID 2

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": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268956800000",
    "number": "1528233632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 MONROE ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602269",
            "telephone_number": "419-824-7264",
            "fax_number": "419-824-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HARROUN RD",
            "address_2": "FLOWER HOSPITAL PA",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602168",
            "telephone_number": "419-824-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOWER HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLOWER HOSPITAL",
        "enumeration_date": "2008-04-29",
        "last_updated": "2010-03-19",
        "status": "A",
        "authorized_official_last_name": "MCCUNE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "419-843-8178"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0871525",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.