Active NPI
Union Internal Medicine Specialties LTD.
- Internal Medicine Physician
- Dover, OH
National Provider Identifier
1902856487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- UNION INTERNAL MEDICINE SPECIALTIES LTD.
- Practice address
- 515 Union Ave
Suite 187
Dover, OH 44622-3004 - Phone
- (330) 343-4411
- Fax
- (330) 336-4111
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jean Ann Padro
- Title
- Assistant Practice Manager
- Phone
- (330) 364-5559
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
515 Union Ave
Suite 187
Dover, OH 44622-3004
Mailing address
515 Union Ave
Suite 187
Dover, OH 44622-3004
Phone (330) 343-4411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2193595 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217894400000",
"number": "1902856487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 UNION AVE",
"address_2": "SUITE 187",
"city": "DOVER",
"state": "OH",
"postal_code": "446223004",
"telephone_number": "330-343-4411",
"fax_number": "330-336-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 UNION AVE",
"address_2": "SUITE 187",
"city": "DOVER",
"state": "OH",
"postal_code": "446223004",
"telephone_number": "330-343-4411",
"fax_number": "330-336-4111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION INTERNAL MEDICINE SPECIALTIES LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2008-08-05",
"status": "A",
"authorized_official_last_name": "PADRO",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ASSISTANT PRACTICE MANAGER",
"authorized_official_telephone_number": "330-364-5559"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2193595",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dover, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.