Organization Active NPI

Samuel Getachew MD, Inc

  • Pediatrics Physician
  • Lorain, OH
National Provider Identifier
1972811081
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35059976 Issued in OH
Legal business name
SAMUEL GETACHEW MD, INC
Practice address
2152 Reid Ave
Lorain, OH 44052-4722
Phone
(440) 244-1677
Fax
(440) 244-1679
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Lydia Gocher
Title
Medical Biller
Phone
(440) 244-1677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 35059976 OH Primary

Addresses

Primary practice location

2152 Reid Ave
Lorain, OH 44052-4722

Mailing address

2152 Reid Ave
Lorain, OH 44052-4722
Phone (440) 244-1677

Other identifiers 1

IdentifierTypeStateIssuer
0838259MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1007825Samuel Getachew MD2152 Reid Avenue, Lorain, OH 44052Certificate of waiverJan 1, 2027

National Provider Directory

National Provider Directory

Locations

2152 Reid Ave
Lorain, OH 44052
Phone 4402338181227

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1972811081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 REID AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440524722",
            "telephone_number": "440-244-1677",
            "fax_number": "440-244-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 REID AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440524722",
            "telephone_number": "440-244-1677",
            "fax_number": "440-244-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL GETACHEW MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "GOCHER",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "440-244-1677"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35059976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0838259",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.