Maumee Valley Internist Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

07353898 Issued in OH

Legal business name

MAUMEE VALLEY INTERNIST INC

Practice address

960 W Wooster St Ste 205
Bowling Green, OH 43402-2650

Phone

(419) 352-2105

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Thurai Y Kumaran, M.D.NPI 1760489173

Title

President

Phone

(419) 352-2105

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Thurai Y Kumaran, M.D.

  • Internal Medicine Physician
  • Bowling Green, OH
  • NPI 1760489173
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1962775767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST STE 205",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 W WOOSTER ST STE 205",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022650",
            "telephone_number": "419-352-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUMEE VALLEY INTERNIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "KUMARAN",
        "authorized_official_first_name": "THURAI",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-352-2105",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "07353898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053745",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Marting, D.O.
• Evelyn Leigh Masters, BSW, LSW
• Kerri Materni, RN
• Gabriella Mackenzie Matney, RD, LD, MFN, MED
• Jeanne M Matthews, OTR/L
• Alicia M Maurer-Vallier, MA, MFT
• Lauren Paige Maxwell, LPC
• John Mayack
• Crispina Mayes, RN
• Morgan McCormick

• Internal Medicine Physician in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.