Medical Associates of Warren, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35068993 Issued in OH

Legal business name

MEDICAL ASSOCIATES OF WARREN, INC.

Practice address

9375 E Market St
Suite Number 2
Warren, OH 44484-5552

Phone

(330) 609-5277

Fax

(330) 609-5294

NPI assigned

Nov 14, 2007

Last updated

Apr 8, 2013By 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

Dr. Kapil Kwatra, M.D.NPI 1326016320

Title

C.E.O

Phone

(330) 609-5277

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medical Associates of Warren, Inc.

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1336320548

  O20040706000917

  Same enrollment

Locations

Practitioners 2

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.

• Kapil Kwatra, M.D

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1326016320
  Authorized official Same address or phone
• James Harry Kondolios, MD

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1073592663
  NPD

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1649450032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 E MARKET ST",
            "address_2": "SUITE NUMBER 2",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845552",
            "telephone_number": "330-609-5277",
            "fax_number": "330-609-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 E MARKET ST",
            "address_2": "SUITE NUMBER 2",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845552",
            "telephone_number": "330-609-5277",
            "fax_number": "330-609-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF WARREN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "KWATRA",
        "authorized_official_first_name": "KAPIL",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "330-609-5277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35068993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Brianna-Camillie Meadows
• Joyce A Mechling, LPN
• Jane Katherine Mecozzi, RN
• Med Star Emergency Medical Services and Transport Inc
• Medical Associates of Warren, Inc.
• Medical Imaging Network Inc (Advanced Radiology)
• Medsmart Co Op Pharmacy (Medsmart Pharmacy)
• Julie Medves, CDCA
• Carla Meehan
• Paresh Girdharlal Mehta, MD

• Internal Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.