Organization Active NPI

John Nirmalnath MD

  • Internal Medicine Physician
  • Mansfield, OH
National Provider Identifier
1952361701
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3506759 Issued in OH
Legal business name
JOHN NIRMALNATH MD
Practice address
295 Glessner Ave
Mansfield, OH 44903
Phone
(419) 525-2241
Fax
(419) 525-1092
NPI assigned
Mar 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
John Nirmalnath, MDNPI 1225210651
Title
MD
Phone
(419) 525-2241

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 3506759 OH Primary

Addresses

Primary practice location

295 Glessner Ave
Mansfield, OH 44903

Mailing address

295 Glessner Ave
Mansfield, OH 44903
Phone (419) 525-2241

Other identifiers 3

IdentifierTypeStateIssuer
019311MedicaidOH
06476736900OtherOHBLUE
000000121141OtherOHANTHEM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1952361701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-525-2241",
            "fax_number": "419-525-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 GLESSNER AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-525-2241",
            "fax_number": "419-525-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN NIRMALNATH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "NIRMALNATH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "419-525-2241",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "3506759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019311",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE",
            "identifier": "06476736900",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000121141",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; 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.