Village of Sardinia

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

Legal business name

VILLAGE OF SARDINIA

Doing business as

Sardinia Fire Department

Practice address

169 Winchester St
Sardinia, OH 45171-9326

Phone

(937) 446-3152

NPI assigned

Dec 19, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicholas Tully

Title

Lieutenant

Phone

(937) 213-3997

Specialties & licenses 1

Addresses

Other names 1

• Sardinia Fire Department Doing business as

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1538675129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 316",
            "city": "SARDINIA",
            "state": "OH",
            "postal_code": "451710316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 WINCHESTER ST",
            "city": "SARDINIA",
            "state": "OH",
            "postal_code": "451719326",
            "telephone_number": "937-446-3152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 Winchester St",
            "address_purpose": "LOCATION",
            "city": "Sardinia",
            "state": "OH",
            "postal_code": "451719326",
            "country_code": "US",
            "telephone_number": "937-446-2178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VILLAGE OF SARDINIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "LIEUTENANT",
        "authorized_official_telephone_number": "937-213-3997"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sardinia Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John F Spaccarelli, M.D.
• Roxanne Ranae Steeples, IP
• Shannon Marie Terwilliger, ATHLETIC TRAINER
• Kelci Elizabeth Tull, CNP
• Cheryl Ann Vance
• Ashley Wellman, NP
• Ben Matthew Werneke, FNP-C
• Marie Willoughby
• Diana Wilson

• Emergency Medical Services (Emergency Medicine) Physician in Sardinia, OH
• Providers in Sardinia, OH by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.