Organization Active NPI

Dr I N Eren MD Inc

  • Internal Medicine Physician
  • Lorain, OH
National Provider Identifier
1538371810
Registry record updated Feb 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35047075 Issued in OH
Legal business name
DR I N EREN MD INC
Practice address
1130 Tower Blvd
Suite B
Lorain, OH 44052-5235
Phone
(440) 989-3736
Fax
(440) 989-4876
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2008

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

Authorized official

Name
Dr. Mustafa K Eren, MDNPI 1194801365
Title
President Physician
Phone
(440) 989-3736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35047075 OH Primary

Addresses

Primary practice location

1130 Tower Blvd
Suite B
Lorain, OH 44052-5235

Mailing address

1130 Tower Blvd
Suite B
Lorain, OH 44052-5235
Phone (440) 989-3736

Other identifiers 1

IdentifierTypeStateIssuer
0617818MedicaidOH

National Provider Directory

National Provider Directory

Locations

5225 N Abbe Rd
Elyria, OH 44035
Phone (440) 934-1458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1538371810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TOWER BLVD",
            "address_2": "SUITE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440525235",
            "telephone_number": "440-989-3736",
            "fax_number": "440-989-4876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TOWER BLVD",
            "address_2": "SUITE B",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440525235",
            "telephone_number": "440-989-3736",
            "fax_number": "440-989-4876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR I N EREN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "EREN",
        "authorized_official_first_name": "MUSTAFA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "440-989-3736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35047075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0617818",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.