NPIMap

Organization Active NPI

Community Mercy Health Partners

Doing business as Mercy Well Child Pediatrics

  • Clinic/Center
  • Urbana, OH
National Provider Identifier
1932166071
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COMMUNITY MERCY HEALTH PARTNERS
Doing business as
Mercy Well Child Pediatrics
Practice address
904 Scioto Street
Urbana, OH 43078-2226
Phone
(937) 484-6157
NPI assigned
May 1, 2006
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Mr. Mark S. Wiener
Title
President & Ceo
Phone
(937) 523-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

904 Scioto Street
Urbana, OH 43078-2226

Mailing address

904 Scioto Street
Urbana, OH 43078-2226
Phone (937) 484-6157

Other identifiers 2

IdentifierTypeStateIssuer
0920169MedicaidOH
3090793MedicaidOH

Other names 1

  • Mercy Well Child Pediatrics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy ER Physicians23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1932166071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SCIOTO STREET",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782226",
            "telephone_number": "937-484-6157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SCIOTO STREET",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430782226",
            "telephone_number": "937-484-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MERCY HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-01",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "WIENER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "937-523-5501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920169",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3090793",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Well Child Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Urbana, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.