Rogelia B. Medidas M.D., Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.034992 Issued in OH

Legal business name

ROGELIA B. MEDIDAS M.D., INC.

Practice address

7003 Memphis Ave
Suite a
Brooklyn, OH 44144-2216

Phone

(216) 749-4733

Fax

(216) 749-4734

NPI assigned

Jun 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rogelia Bulilan Medidas, M.D.,

Title

President

Phone

(216) 749-4733

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339804800000",
    "number": "1710240676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 MEMPHIS AVE",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441442216",
            "telephone_number": "216-749-4733",
            "fax_number": "216-749-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 MEMPHIS AVE",
            "address_2": "SUITE A",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441442216",
            "telephone_number": "216-749-4733",
            "fax_number": "216-749-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGELIA B. MEDIDAS M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-06-16",
        "status": "A",
        "authorized_official_last_name": "MEDIDAS",
        "authorized_official_first_name": "ROGELIA",
        "authorized_official_middle_name": "BULILAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-749-4733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.034992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0216420",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Brooklyn, OH
• Providers in Brooklyn, OH by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; 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.