NPIMap

Organization Active NPI

Maurice Converse

  • Pain Medicine (Anesthesiology) Physician
  • Maumee, OH
National Provider Identifier
1982882957
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
35020368C Issued in OH
Legal business name
MAURICE CONVERSE
Practice address
6253 W Wyandotte Rd
Maumee, OH 43537-1336
Phone
(419) 865-4464
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Deirdre Ann Hardy
Title
Senior Client Rep
Phone
(419) 380-0116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 35020368C OH Primary

Addresses

Primary practice location

6253 W Wyandotte Rd
Maumee, OH 43537-1336

Mailing address

6253 W Wyandotte Rd
Maumee, OH 43537-1336
Phone (419) 865-4464

Other identifiers 1

IdentifierTypeStateIssuer
0107226MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1982882957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6253 W WYANDOTTE RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371336",
            "telephone_number": "419-865-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6253 W WYANDOTTE RD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371336",
            "telephone_number": "419-865-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURICE CONVERSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "HARDY",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SENIOR CLIENT REP",
        "authorized_official_telephone_number": "419-380-0116"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35020368C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107226",
            "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 Feb 1, 2008; 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.