St Marys Medical Group Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35-032121P Issued in OH

Legal business name

ST MARYS MEDICAL GROUP INC.

Practice address

1132 Hager St
Saint Marys, OH 45885-2423

Phone

(419) 394-5851

Fax

(419) 394-0702

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Alfredo A Paguirigan, M.D.

Title

President

Phone

(419) 394-5851

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

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

• Matthew C Riesen, MD

  • General Practice Physician
  • Saint Marys, OH
  • NPI 1497947998

  OH

  Medicare reassignment NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1922110642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1132 HAGER ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852423",
            "telephone_number": "419-394-5851",
            "fax_number": "419-394-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 HAGER ST",
            "city": "SAINT MARYS",
            "state": "OH",
            "postal_code": "458852423",
            "telephone_number": "419-394-5851",
            "fax_number": "419-394-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "PAGUIRIGAN",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-394-5851",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-032121P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4466481",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000127763",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333535",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd E Spieles, DC
• Zachary J Spieles, D.C.
• Katherine Spragg
• St Marys Chiropractic Offices
• St Marys City Board of Education
• St. Marys Surgical Associates, Inc.
• Ava Stammen
• Carol Ann Stape
• Justina Lynn Staroska, CNM
• Christopher John Stucke, DPM

• All providers in Saint Marys, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.