Active NPI
Ontario Minor Medical, LLC
- Medical Physician Assistant
- Ontario, OH
National Provider Identifier
1609504794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Legal business name
- ONTARIO MINOR MEDICAL, LLC
- Practice address
- 3401 Park Ave W
Ontario, OH 44906-1047 - Phone
- (419) 775-5999
- Fax
- (567) 247-0527
- NPI assigned
- Aug 8, 2022
- Last updated
- Aug 8, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dean Winslow Parsons, PA-C
- Title
- Owner/Member
- Phone
- (419) 775-5999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
3401 Park Ave W
Ontario, OH 44906-1047
Mailing address
3401 Park Ave W
Ontario, OH 44906-1047
Phone (419) 775-5999
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | ontariominormedical@gmail.com | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
3401 Park Ave W
Ontario, OH 44906
Phone (419) 775-5999
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.
-
- Medical Physician Assistant
- Dublin, OH
- NPI 1821251034
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1609504794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 PARK AVE W",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061047",
"telephone_number": "419-775-5999",
"fax_number": "567-247-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PARK AVE W",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449061047",
"telephone_number": "419-775-5999",
"fax_number": "567-247-0527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONTARIO MINOR MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-08",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A",
"authorized_official_last_name": "PARSONS",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "WINSLOW",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "419-775-5999",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "ontariominormedical@gmail.com",
"affiliation": "N",
"endpointDescription": "email address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3401 Park Ave W",
"city": "Ontario",
"state": "OH",
"country_code": "US",
"postal_code": "449061047",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.