Active NPI
Medina Cardiovascular Associates Inc
- Cardiovascular Disease Physician
- Medina, OH
National Provider Identifier
1700816824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- MEDINA CARDIOVASCULAR ASSOCIATES INC
- Practice address
- 970 E Washington St Ste 2E
Medina, OH 44256-2181 - Phone
- (330) 722-8707
- Fax
- (330) 723-5679
- NPI assigned
- Jul 4, 2006
- Last updated
- Sep 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Than M Jain, MD
- Title
- President
- Phone
- (330) 722-8707
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary |
Addresses
Primary practice location
970 E Washington St Ste 2E
Medina, OH 44256-2181
Mailing address
970 E Washington St Ste 2E
Medina, OH 44256-2181
Phone (330) 722-8707
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2401458 | Medicaid | OH | |
| CA2551 | Other | OH | RAILROAD MEDICARE |
Other names 1
- T M JAIN MD INC
National Provider Directory
National Provider DirectoryLocations
221 Elyria St
Lodi, OH 44254
Phone (330) 334-2555
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.
-
- Cardiovascular Disease Physician
- Medina, OH
- NPI 1427085570
-
- Cardiovascular Disease Physician
- Medina, OH
- NPI 1104856236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317254400000",
"number": "1700816824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 E WASHINGTON ST STE 2E",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562181",
"telephone_number": "330-722-8707",
"fax_number": "330-723-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 E WASHINGTON ST STE 2E",
"city": "MEDINA",
"state": "OH",
"postal_code": "442562181",
"telephone_number": "330-722-8707",
"fax_number": "330-723-5679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDINA CARDIOVASCULAR ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2011-09-29",
"status": "A",
"authorized_official_last_name": "JAIN",
"authorized_official_first_name": "THAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-722-8707",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2401458",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA2551",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "T M JAIN MD INC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Medina, OH
- Michelle McTighe, PTA
- Jahala K Meager, LISW-S
- Med-Care Associates, Inc
- Medina Anesthesia Associates, Inc
- Medina BSD Opco LLC
- Medina Centerpointe Chiropractic Center Inc
- Medina City Schools
- Medina City Schools
- Medina County Board of Mr/DD (MCAC - Medina County Achievement Center)
- Medina County Office for Older Adults
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.