Northeastern Ohio Infectious Disease Association, Inc

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

COA17837NP Issued in OH

Legal business name

NORTHEASTERN OHIO INFECTIOUS DISEASE ASSOCIATION, INC

Practice address

540 Parmalee Ave
Suite # 610
Youngstown, OH 44510-1716

Phone

(330) 744-4369

Fax

(330) 744-1728

NPI assigned

Oct 8, 2015

Last updated

Oct 8, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy A. Hurdley

Title

Credentialing Supervisor

Phone

(330) 270-2350

Specialties & licenses 1

Addresses

Tax ID family

Northeastern Ohio Infectious Disease Association Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northeastern Ohio Infectious Disease Association Inc

  • Infectious Disease Physician
  • Youngstown, OH
  • NPI 1497769707
  NPD tax ID
• Northeastern Ohio Infectious Disease Association, Inc.

  • Infectious Disease Physician
  • Youngstown, OH
  • NPI 1083012975
  NPD tax ID

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1861863490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "SUITE # 610",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101716",
            "telephone_number": "330-744-4369",
            "fax_number": "330-744-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 PARMALEE AVE",
            "address_2": "SUITE # 610",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445101716",
            "telephone_number": "330-744-4369",
            "fax_number": "330-744-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN OHIO INFECTIOUS DISEASE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "HURDLEY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "330-270-2350",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "OH",
            "license": "COA17837NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Norris, P.C.C.
• Cody North
• Jeanise Monifa North
• Jenell N North, LPN
• Northeastern Ohio Infectious Disease Association Inc
• Northeastern Ohio Infectious Disease Association, Inc.
• Northern Ohio Medical Specialists, LLC (NOMS Healthcare AFCC)
• Northside Medical Center
• Novacare Rehabilitation of Ohio, Inc. (NovaCare Rehabilitation)
• Glenn Joseph Novak, D.O.

• General Practice Registered Nurse in Youngstown, OH
• Providers in Youngstown, OH by specialty
• General Practice Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.