NPIMap

Organization Active NPI

Sam E Rajiah M D Inc

  • Psychiatry Physician
  • Stow, OH
National Provider Identifier
1962600809
Registry record updated Jul 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
035724 Issued in OH
Legal business name
SAM E RAJIAH M D INC
Practice address
3918 Clock Pointe TRL
Suite 102
Stow, OH 44224-2989
Phone
(330) 923-7300
Fax
(330) 923-7301
NPI assigned
Jul 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2010

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

Authorized official

Name
Dr. Sam E. Rajiah, M.D.
Title
Pres.
Phone
(330) 923-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 035724 OH Primary

Addresses

Primary practice location

3918 Clock Pointe TRL
Suite 102
Stow, OH 44224-2989

Mailing address

3918 Clock Pointe TRL
Suite 102
Stow, OH 44224-2989
Phone (330) 923-7300

Other identifiers 6

IdentifierTypeStateIssuer
000000128813OtherOHANTHEM
043322000OtherOHMAGELLAN BEHAVIORAL HEALT
280118OtherOHVALUEOPTIONS
4097994OtherOHAETNA
2945609090001OtherOHMEDICAL MUTUAL INS.
0226188MedicaidOH

National Provider Directory

National Provider Directory

Locations

3918 Clock Pointe Trl
Ste 102
Stow, OH 44224
Phone (330) 923-7300

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1962600809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3918 CLOCK POINTE TRL",
            "address_2": "SUITE 102",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242989",
            "telephone_number": "330-923-7300",
            "fax_number": "330-923-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3918 CLOCK POINTE TRL",
            "address_2": "SUITE 102",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442242989",
            "telephone_number": "330-923-7300",
            "fax_number": "330-923-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM E RAJIAH M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "RAJIAH",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "330-923-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "035724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000128813",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "043322000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "280118",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4097994",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL INS.",
            "identifier": "2945609090001",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0226188",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.