NPIMap

Individual provider Active NPI

Richard R Masin, DO

  • Orthopaedic Surgery Physician
  • Cleveland, OH
National Provider Identifier
1821075755
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
34002641 Issued in OH
Practice address
4100 Warrensville Center Rd
Suite 201
Cleveland, OH 44122-7024
Phone
(216) 367-1850
Fax
(216) 295-0670
NPI assigned
Dec 30, 2005
Last updated
Sep 17, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 34002641 OH Primary

Addresses

Primary practice location

4100 Warrensville Center Rd
Suite 201
Cleveland, OH 44122-7024

Mailing address

3645 Warrensville Center Rd
Suite 120
Shaker HTS, OH 44122-5247
Phone (216) 367-1850

Other identifiers 1

IdentifierTypeStateIssuer
0516329MedicaidOH

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
34002641OHMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Orthopedic Associates of Northern Oh Orthopaedic Surgery PastSince Jul 1, 1987 Accepting new patients
Regional Diagnostics, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rmasindo32979@direct.ccf.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1821075755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 120",
            "city": "SHAKER HTS",
            "state": "OH",
            "postal_code": "441225247",
            "telephone_number": "216-367-1850",
            "fax_number": "216-295-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 WARRENSVILLE CENTER RD",
            "address_2": "SUITE 201",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441227024",
            "telephone_number": "216-367-1850",
            "fax_number": "216-295-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIN",
        "first_name": "RICHARD",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "34002641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0516329",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.