NPIMap

Organization Active NPI

Mercy Health Physicians-North LLC

Doing business as Mercy Oregon Podiatry

  • Durable Medical Equipment & Medical Supplies
  • Oregon, OH
National Provider Identifier
1548644172
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERCY HEALTH PHYSICIANS-NORTH LLC
Doing business as
Mercy Oregon Podiatry
Practice address
1050 Isaac Streets Dr Ste 122
Oregon, OH 43616-3243
Phone
(419) 693-4171
Fax
(419) 693-6863
NPI assigned
Jul 14, 2015
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Olivia Dacre
Title
Cfo, Medical Group
Phone
(419) 251-9650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1050 Isaac Streets Dr Ste 122
Oregon, OH 43616-3243

Mailing address

1701 Mercy Health PL
Cincinnati, OH 45237-6147

Other identifiers 1

IdentifierTypeStateIssuer
2939806MedicaidOH

Other names 1

  • Mercy Oregon Podiatry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1436832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1548644172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MERCY HEALTH PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452376147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ISAAC STREETS DR STE 122",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163243",
            "telephone_number": "419-693-4171",
            "fax_number": "419-693-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS-NORTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-14",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "DACRE",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "CFO, MEDICAL GROUP",
        "authorized_official_telephone_number": "419-251-9650"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2939806",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Oregon Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Oregon Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.