Individual provider Active NPI

Paige Doremus

  • Case Manager/Care Coordinator
  • Ravenna, OH
National Provider Identifier
1659067700
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
624 W Highland Ave
Ravenna, OH 44266-2128
Phone
(419) 297-3293
NPI assigned
Apr 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

624 W Highland Ave
Ravenna, OH 44266-2128

Mailing address

624 W Highland Ave
Ravenna, OH 44266-2128
Phone (253) 330-3443

Other practice location 1

3922 Lovers Ln
Ravenna, OH 44266-4200
Phone (419) 297-3293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1659067700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W HIGHLAND AVE",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662128",
            "telephone_number": "253-330-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W HIGHLAND AVE",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442662128",
            "telephone_number": "419-297-3293"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3922 Lovers Ln",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "OH",
            "postal_code": "442664200",
            "country_code": "US",
            "telephone_number": "419-297-3293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOREMUS",
        "first_name": "PAIGE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.