Active NPI
Marc James Dinga, MD
- Pulmonary Disease Physician
- Mentor, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35043692
- Practice address
- 9500 Mentor Avemue
Suite 100
Mentor, OH 44060-8714 - Phone
- (440) 255-5620
- Fax
- (440) 375-8834
- NPI assigned
- Oct 12, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35043692 | OH | |
| Pulmonary Disease Physician | 207RP1001X | 35043692 | OH | Primary |
Addresses
Primary practice location
9500 Mentor Avemue
Suite 100
Mentor, OH 44060-8714
Mailing address
7590 Auburn Rd Ste 14
Concord TWP, OH 44077-9176
Phone (440) 354-1899
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0534827 | Medicaid | OH | |
| H562870 | Other | OH | MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marc.dinga@lhpg.eclinicaldirectplus.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35043692 | OH | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System, Inc | Current | Accepting new patients | |
| Lake Hospital System Inc | Current | Accepting new patients | |
| Lake Hospital System Inc | Current | Accepting new patients | |
| Specialists in Pulmonary & Critical Care, Corp | Critical Care Medicine | Past | Accepting new patients |
Locations
7590 Auburn Rd
Ste 14
Concord Township, OH 44077
Phone (440) 354-1899
6270 N Ridge Rd
Madison, OH 44057
Phone (440) 428-8292
9500 Mentor Ave
Ste 100
Mentor, OH 44060
Phone (440) 352-4880
9500 Mentor Ave
Ste 300
Mentor, OH 44060
Phone (440) 269-8020
10780 Kinsman Rd
Newbury, OH 44065
Phone (440) 564-5656
4212 State Route 306
Ste 110
Willoughby, OH 44094
Phone (440) 953-9135
36000 Euclid Ave
Willoughby Hills, OH 44094
Phone (440) 375-8166
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Middlefield, OH
- NPI 1952339996
-
- Internal Medicine Physician
- Willoughby, OH
- NPI 1164697629
-
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
-
- Pulmonary Disease Physician
- Garfield HTS, OH
- NPI 1215114822
Critical Care Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616457600000",
"number": "1760470751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7590 AUBURN RD STE 14",
"city": "CONCORD TWP",
"state": "OH",
"postal_code": "440779176",
"telephone_number": "440-354-1899",
"fax_number": "440-354-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 MENTOR AVEMUE",
"address_2": "SUITE 100",
"city": "MENTOR",
"state": "OH",
"postal_code": "440608714",
"telephone_number": "440-255-5620",
"fax_number": "440-375-8834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINGA",
"first_name": "MARC",
"middle_name": "JAMES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2021-03-23",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35043692",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "OH",
"license": "35043692",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0534827",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "H562870",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marc.dinga@lhpg.eclinicaldirectplus.com",
"affiliation": "N",
"endpointDescription": "Baseline West Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "9500 Mentor Avemue",
"address_2": "Suite 100",
"city": "Mentor",
"state": "OH",
"country_code": "US",
"postal_code": "440608714",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.