Organization Active NPI

Waterloo Family Practice

  • Family Medicine Physician
  • Akron, OH
National Provider Identifier
1881662625
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WATERLOO FAMILY PRACTICE
Practice address
361 E Waterloo Rd
Akron, OH 44319
Phone
(330) 773-7866
Fax
(330) 773-5090
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Authorized official

Name
Rafael P Osoteo Jr., MD
Title
President
Phone
(330) 773-7866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

361 E Waterloo Rd
Akron, OH 44319

Mailing address

361 E Waterloo Rd
Akron, OH 44319
Phone (330) 773-7866

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1881662625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 E WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44319",
            "telephone_number": "330-773-7866",
            "fax_number": "330-773-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 E WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44319",
            "telephone_number": "330-773-7866",
            "fax_number": "330-773-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERLOO FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "OSOTEO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-773-7866",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.