Organization Active NPI

Ohio Opiate Recovery

Doing business as Ritenour Medical

  • General Practice Physician
  • Mansfield, OH
National Provider Identifier
1811543671
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
OHIO OPIATE RECOVERY
Doing business as
Ritenour Medical
Practice address
380 Cline Ave Ste 1
Mansfield, OH 44907-1056
Phone
(419) 571-5290
Fax
(419) 522-0998
NPI assigned
Aug 16, 2019
Last updated
Aug 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Stacey Renee Wolfe
Title
Office Manager
Phone
(419) 571-5290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

380 Cline Ave Ste 1
Mansfield, OH 44907-1056

Mailing address

380 Cline Ave Ste 1
Mansfield, OH 44907-1056
Phone (419) 571-5290

Other names 1

  • Ritenour Medical Doing business as

National Provider Directory

National Provider Directory

Locations

380 Cline Ave
Ste 1
Mansfield, OH 44907
Phone (419) 571-5290

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1811543671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 CLINE AVE STE 1",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071056",
            "telephone_number": "419-571-5290",
            "fax_number": "419-522-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 CLINE AVE STE 1",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071056",
            "telephone_number": "419-571-5290",
            "fax_number": "419-522-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO OPIATE RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-571-5290"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ritenour Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.