Organization Active NPI

Waverly City Board of Education

  • Local Education Agency (LEA)
  • Waverly, OH
National Provider Identifier
1982842563
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WAVERLY CITY BOARD OF EDUCATION
Practice address
1 Tiger Dr
Waverly, OH 45690-8704
Phone
(740) 947-4770
Fax
(740) 947-4483
NPI assigned
Feb 4, 2009
Last updated
Feb 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mr. Mike Roback
Title
Superintendent
Phone
(740) 947-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

1 Tiger Dr
Waverly, OH 45690-8704

Mailing address

1 Tiger Dr
Waverly, OH 45690-8704
Phone (740) 947-4770

Other identifiers 1

IdentifierTypeStateIssuer
049148MedicaidOH

National Provider Directory

National Provider Directory

Locations

1 Tiger Dr
Waverly, OH 45690
Phone (740) 947-4770

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1982842563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIGER DR",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456908704",
            "telephone_number": "740-947-4770",
            "fax_number": "740-947-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIGER DR",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456908704",
            "telephone_number": "740-947-4770",
            "fax_number": "740-947-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAVERLY CITY BOARD OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "ROBACK",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "740-947-4770",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "049148",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.