NPIMap

Organization Active NPI

Norwalk Emergency Services, Inc.

  • Emergency Medicine Physician
  • Norwalk, OH
National Provider Identifier
1730226069
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
NORWALK EMERGENCY SERVICES, INC.
Practice address
272 Benedict Ave
Fisher-Titus Medcial Center
Norwalk, OH 44857-2374
Phone
(800) 589-3862
NPI assigned
Jan 30, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Mr. Mark Jacoby
Title
Executive Director
Phone
(419) 824-3433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

272 Benedict Ave
Fisher-Titus Medcial Center
Norwalk, OH 44857-2374

Mailing address

5800 Monroe St
BLDG. E #4
Sylvania, OH 43560-2263
Phone (419) 824-3433

Other identifiers 1

IdentifierTypeStateIssuer
CN0371OtherOHMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

5800 Monroe St
Ste E4
Sylvania, OH 43560
Phone (419) 824-3433

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1730226069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST",
            "address_2": "BLDG. E #4",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602263",
            "telephone_number": "419-824-3433",
            "fax_number": "419-824-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 BENEDICT AVE",
            "address_2": "FISHER-TITUS MEDCIAL CENTER",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572374",
            "telephone_number": "800-589-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORWALK EMERGENCY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-824-3433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN0371",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.