NPIMap

Organization Active NPI

RS Medical Group PC

Doing business as Perrybury Primary Care

  • Primary Care Clinic/Center
  • Perrysburg, OH
National Provider Identifier
1669418000
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35068896 Issued in OH
Legal business name
RS MEDICAL GROUP PC
Doing business as
Perrybury Primary Care
Practice address
28442 E River Rd
Suite 102
Perrysburg, OH 43551-2858
Phone
(419) 874-0116
Fax
(419) 874-2053
NPI assigned
Jun 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Krishna M Raothaman, MD
Title
President
Phone
(419) 874-0116

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35068896 OH Primary
Primary Care Clinic/Center 261QP2300X 35068087 MI

Addresses

Primary practice location

28442 E River Rd
Suite 102
Perrysburg, OH 43551-2858

Mailing address

28442 E River Rd
Suite 102
Perrysburg, OH 43551
Phone (419) 874-0116

Other names 1

  • PERRYBURY PRIMARY CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RS Medical Group PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669418000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28442 E RIVER RD",
            "address_2": "SUITE 102",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "43551",
            "telephone_number": "419-874-0116",
            "fax_number": "419-874-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28442 E RIVER RD",
            "address_2": "SUITE 102",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512858",
            "telephone_number": "419-874-0116",
            "fax_number": "419-874-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RS MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAOTHAMAN",
        "authorized_official_first_name": "KRISHNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-874-0116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35068896",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MI",
            "license": "35068087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERRYBURY PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.