Auglaize Mercer Cardiology Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

35062730 Issued in OH

Legal business name

AUGLAIZE MERCER CARDIOLOGY INC

Practice address

03920 Southland Rd
New Bremen, OH 45869-9790

Phone

(419) 629-3663

Fax

(419) 629-2783

NPI assigned

Sep 3, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Rajendra Kakarla, MDNPI 1841251006

Title

President

Phone

(419) 629-3663

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajendra Kakarla, MD

  • Cardiovascular Disease Physician
  • New Bremen, OH
  • NPI 1841251006
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441238400000",
    "number": "1871961144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "03920 SOUTHLAND RD",
            "city": "NEW BREMEN",
            "state": "OH",
            "postal_code": "458699790",
            "telephone_number": "419-629-3663",
            "fax_number": "419-629-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "03920 SOUTHLAND RD",
            "city": "NEW BREMEN",
            "state": "OH",
            "postal_code": "458699790",
            "telephone_number": "419-629-3663",
            "fax_number": "419-629-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUGLAIZE MERCER CARDIOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2015-09-03",
        "status": "A",
        "authorized_official_last_name": "KAKARLA",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-629-3663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35062730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266135",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Auglaize County Board of MRDD
• Auglaize Industries, Inc.
• Linda Baker, LMT
• Charmaline Zephirin Benoit, LPN
• John F Bowling, MD
• Thomas Karl Broering, DDS
• Deanna Bruggeman

• Cardiovascular Disease Physician in New Bremen, OH
• Providers in New Bremen, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.