Active NPI
Intermed Associates, Inc
- Internal Medicine Physician
- Perrysburg, OH
National Provider Identifier
1821039330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34-003664
- Legal business name
- INTERMED ASSOCIATES, INC
- Practice address
- 1103 Village Square Dr
Suite #100
Perrysburg, OH 43551-1783 - Phone
- (419) 872-3213
- Fax
- (419) 872-9549
- NPI assigned
- Jun 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charles S. Sheldon, D.O.
- Title
- Owner
- Phone
- (419) 872-3213
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34-003664 | OH | Primary |
Addresses
Primary practice location
1103 Village Square Dr
Suite #100
Perrysburg, OH 43551-1783
Mailing address
1103 Village Square Dr
Suite #100
Perrysburg, OH 43551-1783
Phone (419) 872-3213
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0611341 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
2409 Cherry St
Ste 302
Toledo, OH 43608
Phone (419) 255-5000
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1912907890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276819200000",
"number": "1821039330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 VILLAGE SQUARE DR",
"address_2": "SUITE #100",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511783",
"telephone_number": "419-872-3213",
"fax_number": "419-872-9549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 VILLAGE SQUARE DR",
"address_2": "SUITE #100",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511783",
"telephone_number": "419-872-3213",
"fax_number": "419-872-9549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERMED ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2010-06-18",
"status": "A",
"authorized_official_last_name": "SHELDON",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-872-3213",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "34-003664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0611341",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.