Active NPI
Farid Ramzi Talih, M.D.
- Psychiatry Physician
- Ashtabula, OH
National Provider Identifier
1770780199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 086966
- Practice address
- 2420 Lake Ave
Ashtabula, OH 44004-4954 - Phone
- (440) 994-7504
- NPI assigned
- Jun 29, 2007
- Last updated
- Aug 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 086966 | OH | Primary |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 086966 | OH |
Addresses
Primary practice location
2420 Lake Ave
Ashtabula, OH 44004-4954
Mailing address
2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 994-7504
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 |
|---|---|---|---|
| 086966 | OH | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1770780199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 LAKE AVE",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440044954",
"telephone_number": "440-994-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 LAKE AVE",
"city": "ASHTABULA",
"state": "OH",
"postal_code": "440044954",
"telephone_number": "440-994-7504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALIH",
"first_name": "FARID",
"middle_name": "RAMZI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-29",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "086966",
"primary": true
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "OH",
"license": "086966",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ashtabula, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.