Medina Pathology Associates Inc.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

Legal business name

MEDINA PATHOLOGY ASSOCIATES INC.

Practice address

1000 E Washington St
Medina, OH 44256-2170

Phone

(330) 725-1000

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shail Jain, M.D.NPI 1770624140

Title

President

Phone

(330) 723-0277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shail Jain, M.D.

  • Clinical Pathology/Laboratory Medicine Physician
  • Medina, OH
  • NPI 1770624140
  NPD (past) Authorized official

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1679762470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 E WASHINGTON ST",
            "address_2": "SUITE 2E",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E WASHINGTON ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562170",
            "telephone_number": "330-725-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDINA PATHOLOGY ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SHAIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-723-0277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0860804",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medina Hospital
• Medina Hospital
• Medina OB/GYN Associates, Inc.
• Medina Opco, LLC
• Medina Operations, LLC
• Medina Pediatric Dental Associates
• Medina Village Retirement Community, LTD
• Medina Vision Centre Inc.
• Medina-Summit Ambulatory Surgery Center
• Daniel Meeks

• Clinical Pathology/Laboratory Medicine Physician in Medina, OH
• Providers in Medina, OH by specialty
• Clinical Pathology/Laboratory Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.