NPIMap

Organization Active NPI

Noes/Paulding, LTD

  • Emergency Medicine Physician
  • Sylvania, OH
National Provider Identifier
1619997459
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NOES/PAULDING, LTD
Practice address
5800 Monroe St
Building E #4
Sylvania, OH 43560-2263
Phone
(419) 824-3433
Fax
(419) 824-0216
NPI assigned
Jul 21, 2006
Last updated
Jul 18, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
NOES/PAULDING, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Mr. Manny C Marcelo
Title
Adminstrative Director
Phone
(419) 824-5063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

5800 Monroe St
Building E #4
Sylvania, OH 43560-2263

Mailing address

PO Box 638120
Cincinnati, OH 45263-8120
Phone (419) 824-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031203000550 OH Part B Supplier - Clinic/Group Practice 0648175661 Receives reassigned benefits from 9 practitioners
Practice locations: Paulding, OH

National Provider Directory

National Provider Directory
Part of
Noespaulding LTD

Locations

5800 Monroe St
Ste E4
Sylvania, OH 43560
Phone (419) 824-3433

Practitioners & affiliated clinicians

Practitioners 79

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.

View all 79

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1619997459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638120",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638120",
            "telephone_number": "419-824-5063",
            "fax_number": "419-824-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST",
            "address_2": "BUILDING E #4",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602263",
            "telephone_number": "419-824-3433",
            "fax_number": "419-824-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOES/PAULDING, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOES/PAULDING, LTD",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "MARCELO",
        "authorized_official_first_name": "MANNY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINSTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "419-824-5063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.