Organization Active NPI

NW Ohio Spine and Sport, LLC

  • Pain Medicine Physician
  • Archbold, OH
National Provider Identifier
1972837284
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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

Updated by the provider on Sep 21, 2009

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.