NPIMap

Organization Active NPI

Mercy Health-St Ritas Medical Center LLC

  • Family Medicine Physician
  • Lima, OH
National Provider Identifier
1982802971
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OH-58001642 Issued in OH
Legal business name
MERCY HEALTH-ST RITAS MEDICAL CENTER LLC
Practice address
825 S Cable Rd Unit a
Lima, OH 45805-3467
Phone
(419) 224-1234
NPI assigned
Jul 11, 2007
Organization subpart
Yes
Parent organization
ST. RITA'S MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Mr. Brian Smith
Title
Vice President
Phone
(419) 227-3361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OH-58001642 OH Primary

Addresses

Primary practice location

825 S Cable Rd Unit a
Lima, OH 45805-3467

Mailing address

PO Box 73471
Cleveland, OH 44193-0002
Phone (419) 224-1234

Other identifiers 1

IdentifierTypeStateIssuer
2677965MedicaidOH

Other names 1

  • Dr. Michael Martz Doing business as

National Provider Directory

National Provider Directory
Part of
Med Care Physicians

Locations

825 S Cable Rd
Unit A
Lima, OH 45805
Phone (419) 224-1234

Practitioners & affiliated clinicians

Practitioners 5

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": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1982802971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 73471",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930002",
            "telephone_number": "419-224-1234",
            "fax_number": "419-226-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S CABLE RD UNIT A",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053467",
            "telephone_number": "419-224-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-ST RITAS MEDICAL CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. RITA'S MEDICAL CENTER",
        "enumeration_date": "2007-07-11",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-227-3361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "OH-58001642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2677965",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Michael Martz",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Michael Martz",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.