NPIMap

Organization Active NPI

County of Medina Auditor

  • State or Local Public Health Clinic/Center
  • Medina, OH
National Provider Identifier
1699816884
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF MEDINA AUDITOR
Practice address
4800 Ledgewood Dr
Medina, OH 44256-7666
Phone
(330) 723-9688
Fax
(330) 723-9697
NPI assigned
Feb 9, 2007
Last updated
Feb 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Authorized official

Name
Dr. Stephen Michael Bodjanac, DO
Title
Medical Director
Phone
(330) 723-9688

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X OH Primary

Addresses

Primary practice location

4800 Ledgewood Dr
Medina, OH 44256-7666

Mailing address

4800 Ledgewood Dr
Medina, OH 44256-7666
Phone (330) 723-9688

Other identifiers 1

IdentifierTypeStateIssuer
0870919MedicaidOH

Other names 1

  • Medina County Health Department Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1699816884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LEDGEWOOD DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567666",
            "telephone_number": "330-723-9688",
            "fax_number": "330-723-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LEDGEWOOD DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442567666",
            "telephone_number": "330-723-9688",
            "fax_number": "330-723-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MEDINA AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "BODJANAC",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-723-9688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0870919",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medina County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.