Active NPI
NW Ohio Spine and Sport, LLC
- Pain Medicine Physician
- Archbold, OH
National Provider Identifier
1972837284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- NW OHIO SPINE AND SPORT, LLC
- Practice address
- 121 Westfield Dr
Suite 2
Archbold, OH 43502-1056 - Phone
- (419) 843-1369
- Fax
- (419) 843-8402
- NPI assigned
- Sep 21, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William G James Jr., M.D.
- Title
- President
- Phone
- (419) 843-1369
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
121 Westfield Dr
Suite 2
Archbold, OH 43502-1056
Mailing address
7071 W Central Ave
Suite C
Toledo, OH 43617-2700
Phone (419) 843-1369
National Provider Directory
National Provider DirectoryLocations
121 Westfield Dr
Ste 2
Archbold, OH 43502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253491200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253491200000",
"number": "1972837284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7071 W CENTRAL AVE",
"address_2": "SUITE C",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436172700",
"telephone_number": "419-843-1369",
"fax_number": "419-843-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WESTFIELD DR",
"address_2": "SUITE 2",
"city": "ARCHBOLD",
"state": "OH",
"postal_code": "435021056",
"telephone_number": "419-843-1369",
"fax_number": "419-843-8402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NW OHIO SPINE AND SPORT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-21",
"last_updated": "2009-09-21",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-843-1369",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Archbold, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.