Individual provider Active NPI

Pedro C Anloague, MD

  • Adult Medicine Physician
  • Seven Hills, OH
National Provider Identifier
1720026206
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
35035322A Issued in OH
Practice address
1200 John Glenn Dr
Seven Hills, OH 44131-2930
Phone
(440) 816-8744
Fax
(440) 816-6421
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 35035322A OH Primary

Addresses

Primary practice location

1200 John Glenn Dr
Seven Hills, OH 44131-2930

Mailing address

1200 John Glenn Dr
Seven Hills, OH 44131-2930
Phone (216) 338-7796

Other identifiers 2

IdentifierTypeStateIssuer
000000141286OtherOHANTHEM B LUE SHIELD
0206799MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35035322AOHMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1720026206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 JOHN GLENN DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441312930",
            "telephone_number": "216-338-7796",
            "fax_number": "216-265-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 JOHN GLENN DR",
            "city": "SEVEN HILLS",
            "state": "OH",
            "postal_code": "441312930",
            "telephone_number": "440-816-8744",
            "fax_number": "440-816-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANLOAGUE",
        "first_name": "PEDRO",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "OH",
            "license": "35035322A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM B LUE SHIELD",
            "identifier": "000000141286",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206799",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.