Organization Active NPI

Med-Care Associates, Inc

  • Family Medicine Physician
  • Medina, OH
National Provider Identifier
1568426104
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MED-CARE ASSOCIATES, INC
Practice address
111 W Reagan Pkwy
Medina, OH 44256-1545
Phone
(330) 725-6226
NPI assigned
Apr 12, 2006
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Luan O'Connor, DO
Title
Owner
Phone
(330) 725-6226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

111 W Reagan Pkwy
Medina, OH 44256-1545

Mailing address

111 W Reagan Pkwy
Medina, OH 44256-1545

Other identifiers 1

IdentifierTypeStateIssuer
0757373MedicaidOH

National Provider Directory

National Provider Directory

Locations

111 W Reagan Pkwy
Medina, OH 44256
Phone (330) 725-6226

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": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1568426104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W REAGAN PKWY",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W REAGAN PKWY",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561545",
            "telephone_number": "330-725-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-CARE ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "LUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-725-6226",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0757373",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.