Organization Active NPI

Paramount Medical Care Inc.

  • Internal Medicine Physician
  • Shadyside, OH
National Provider Identifier
1699187500
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35060832 Issued in OH
Legal business name
PARAMOUNT MEDICAL CARE INC.
Practice address
3948 Central Ave
Shadyside, OH 43947-1310
Phone
(740) 296-5702
NPI assigned
May 27, 2014
Last updated
Sep 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Renato Dela Cruz, M.D.NPI 1174523641
Title
Owner
Phone
(740) 296-5702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35060832 OH Primary

Addresses

Primary practice location

3948 Central Ave
Shadyside, OH 43947-1310

Mailing address

PO Box 6230
Wheeling, WV 26003-0722
Phone (304) 242-7106

Other identifiers 1

IdentifierTypeStateIssuer
0106440MedicaidOH

National Provider Directory

National Provider Directory

Locations

51520 National Rd
St Clairsvle, OH 43950
Phone (304) 281-3824

Practitioners & affiliated clinicians

Practitioners 1

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": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1699187500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6230",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030722",
            "telephone_number": "304-242-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3948 CENTRAL AVE",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "439471310",
            "telephone_number": "740-296-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAMOUNT MEDICAL CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "RENATO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-296-5702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35060832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106440",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shadyside, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.