Active NPI
Liwanag Asuncion M.D., Inc
- Internal Medicine Physician
- Elyria, OH
National Provider Identifier
1972795243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- LIWANAG ASUNCION M.D., INC
- Practice address
- 860 E Broad St
Elyria, OH 44035-6542 - Phone
- (440) 288-1216
- NPI assigned
- Aug 10, 2007
- Organization subpart
- Yes
- Parent organization
- LIWANAG ASUNCION M.D., INC 1515 KANSAS AVE LORAIN OH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Liwanag Asuncion, MD
- Title
- President
- Phone
- (440) 288-1216
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
860 E Broad St
Elyria, OH 44035-6542
Mailing address
860 E Broad St
Elyria, OH 44035-6542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2072911 | Medicaid | OH |
National Provider Directory
National Provider Directory- Part of
- Algis Nursing Home
Locations
860 E Broad St
Elyria, OH 44035
Phone (440) 322-4220
1515 Kansas Ave
Lorain, OH 44052
Phone (440) 288-1216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196985600000",
"number": "1972795243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 E BROAD ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 E BROAD ST",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440356542",
"telephone_number": "440-288-1216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIWANAG ASUNCION M.D., INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIWANAG ASUNCION M.D., INC 1515 KANSAS AVE LORAIN OH",
"enumeration_date": "2007-08-10",
"last_updated": "2007-12-07",
"status": "A",
"authorized_official_last_name": "ASUNCION",
"authorized_official_first_name": "LIWANAG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "440-288-1216",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2072911",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.