Organization Active NPI

Union Internal Medicine Specialties LTD.

  • Internal Medicine Physician
  • Dover, OH
National Provider Identifier
1902856487
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Aug 5, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2193595MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.