Organization Active NPI

Pairadocs Consulting

  • Cardiovascular Disease Physician
  • Maumee, OH
National Provider Identifier
1982858650
Registry record updated Jun 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35055676 Issued in OH
Legal business name
PAIRADOCS CONSULTING
Practice address
5705 Monclova Rd
201
Maumee, OH 43537-1875
Phone
(419) 794-7700
Fax
(419) 794-7715
NPI assigned
Nov 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2009

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

Authorized official

Name
Charles J Gbur Jr., M.D
Title
Owner
Phone
(419) 794-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 35055676 OH Primary

Addresses

Primary practice location

5705 Monclova Rd
201
Maumee, OH 43537-1875

Mailing address

7550 Lucerne Dr
405
Middleburg Heights, OH 44130-6588
Phone (440) 234-8833

Other identifiers 1

IdentifierTypeStateIssuer
2868811MedicaidOH

National Provider Directory

National Provider Directory

Locations

300 Hopkins St
Defiance, OH 43512
Phone (419) 782-9106

5705 Monclova Rd
Ste 201
Maumee, OH 43537
Phone (419) 704-7472

NPI Registry JSON

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243987200000",
    "number": "1982858650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 LUCERNE DR",
            "address_2": "405",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306588",
            "telephone_number": "440-234-8833",
            "fax_number": "440-234-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5705 MONCLOVA RD",
            "address_2": "201",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371875",
            "telephone_number": "419-794-7700",
            "fax_number": "419-794-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIRADOCS CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2009-06-03",
        "status": "A",
        "authorized_official_last_name": "GBUR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-794-7700",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35055676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2868811",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.