Active NPI
Richland Pulmonary and Critical Care Associates Inc
- Pulmonary Disease Physician
- Mansfield, OH
National Provider Identifier
1962494302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- RICHLAND PULMONARY AND CRITICAL CARE ASSOCIATES INC
- Practice address
- 391 Glessner Ave
Mansfield, OH 44903-2107 - Phone
- (419) 524-8250
- Fax
- (419) 524-6164
- NPI assigned
- Aug 22, 2005
- 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
- Mr. Sunil J Vaidva, MD
- Title
- Vice President
- Phone
- (419) 524-8250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
391 Glessner Ave
Mansfield, OH 44903-2107
Mailing address
391 Glessner Ave
Mansfield, OH 44903-2107
Phone (419) 524-8250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2196609 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
391 Glessner Ave
Ste A
Mansfield, OH 44903
Phone (419) 524-8250
391 Glessner Ave
Mansfield, OH 44903
Phone (419) 524-8250
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Mansfield, OH
- NPI 1568491439
-
- Internal Medicine Physician
- Wilmington, OH
- NPI 1720025695
-
- Oncology Clinical Nurse Specialist
- Sandusky, OH
- NPI 1013154376
-
- Pulmonary Disease Physician
- Mansfield, OH
- NPI 1144262346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282694400000",
"number": "1962494302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 GLESSNER AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449032107",
"telephone_number": "419-524-8250",
"fax_number": "419-524-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 GLESSNER AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449032107",
"telephone_number": "419-524-8250",
"fax_number": "419-524-6164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHLAND PULMONARY AND CRITICAL CARE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-22",
"last_updated": "2010-08-25",
"status": "A",
"authorized_official_last_name": "VAIDVA",
"authorized_official_first_name": "SUNIL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "419-524-8250",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2196609",
"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 Aug 25, 2010; 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.