Active NPI
Paul Ernest Fracasso, DO
- Family Medicine Physician
- Rittman, OH
National Provider Identifier
1891786232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34004162F
- Practice address
- 223 N Main St
Rittman, OH 44270-1140 - Phone
- (330) 925-4911
- Fax
- (330) 927-9258
- NPI assigned
- Nov 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34004162F | OH | Primary |
Addresses
Primary practice location
223 N Main St
Rittman, OH 44270-1140
Mailing address
223 N Main St
Rittman, OH 44270-1140
Phone (330) 925-4911
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0694682 | Medicaid | OH | |
| FR0610537 | Other | OH | MEDICARE ID |
| 0601538 | Other | OH | MEDICARE ID |
| 0748927 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 34004162F | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321228800000",
"number": "1891786232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 N MAIN ST",
"city": "RITTMAN",
"state": "OH",
"postal_code": "442701140",
"telephone_number": "330-925-4911",
"fax_number": "330-927-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 N MAIN ST",
"city": "RITTMAN",
"state": "OH",
"postal_code": "442701140",
"telephone_number": "330-925-4911",
"fax_number": "330-927-9258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRACASSO",
"first_name": "PAUL",
"middle_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-03",
"last_updated": "2011-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34004162F",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0694682",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "FR0610537",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "0601538",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0748927",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rittman, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.