Organization Active NPI

Joseph E. Centa, M.D., LLC

  • Medical Specialty Clinic/Center
  • Norwalk, OH
National Provider Identifier
1972680957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
35081040 Issued in OH
Legal business name
JOSEPH E. CENTA, M.D., LLC
Practice address
278 Benedict Ave
Suite 450
Norwalk, OH 44857-2399
Phone
(419) 668-6655
Fax
(419) 663-6699
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Joseph Emil Centa, M.D.
Title
Owner
Phone
(419) 668-6655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 35081040 OH Primary

Addresses

Primary practice location

278 Benedict Ave
Suite 450
Norwalk, OH 44857-2399

Mailing address

278 Benedict Ave
Suite 450
Norwalk, OH 44857-2399
Phone (419) 668-6655

Other identifiers 1

IdentifierTypeStateIssuer
2347802MedicaidOH

National Provider Directory

National Provider Directory

Locations

278 Benedict Ave
Ste 450
Norwalk, OH 44857
Phone (419) 668-6655

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972680957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 BENEDICT AVE",
            "address_2": "SUITE 450",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572399",
            "telephone_number": "419-668-6655",
            "fax_number": "419-663-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 BENEDICT AVE",
            "address_2": "SUITE 450",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448572399",
            "telephone_number": "419-668-6655",
            "fax_number": "419-663-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH E. CENTA, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CENTA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-668-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35081040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2347802",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.