Active NPI
Pedro C Anloague, MD
- Adult Medicine Physician
- Seven Hills, OH
National Provider Identifier
1720026206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 35035322A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000141286 | Other | OH | ANTHEM B LUE SHIELD |
| 0206799 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35035322A | OH | MD | Adult 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.