Organization Active NPI

Liwanag Asuncion M.D., Inc

  • Internal Medicine Physician
  • Elyria, OH
National Provider Identifier
1972795243
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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 OHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2072911MedicaidOH

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.

Verify at the official NPI Registry.