MIDWESTERN PULMONARY ASSOCIATES (MIDWESTERN CARDIAC SURGERY, INC.) NPI 1003030883

Specialist in Mansfield, OH

NPI 1003030883 Organization Specialist

About MIDWESTERN PULMONARY ASSOCIATES (MIDWESTERN CARDIAC SURGERY, INC.)

Midwestern Pulmonary Associates (midwestern Cardiac Surgery, Inc.) is a provider established in Mansfield, Ohio specializing in specialist. The NPI number of Midwestern Pulmonary Associates (midwestern Cardiac Surgery, Inc.) is 1003030883 and was assigned on April 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated one year ago. Midwestern Pulmonary Associates (midwestern Cardiac Surgery, Inc.) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Midwestern Pulmonary Associates. The authorized official of this NPI record is Kelly M. Knott (Practice Administrator)

NPI

1003030883

Provider NameMIDWESTERN PULMONARY ASSOCIATES (MIDWESTERN CARDIAC SURGERY, INC.)
Provider Location Address770 BALGREEN DR SUITE 107 MANSFIELD, OH 44906
Provider Mailing Address770 BALGREEN DR SUITE 107 MANSFIELD, OH 44906
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameMIDWESTERN PULMONARY ASSOCIATES
Other Name TypeDoing Business As (3)
Enumeration Date04-12-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Business Address

MIDWESTERN PULMONARY ASSOCIATES
770 BALGREEN DR
SUITE 107
MANSFIELD, OH
ZIP 44906
Phone: (419) 522-0320
Fax: (419) 522-0350

Get Directions


Mailing Address

MIDWESTERN PULMONARY ASSOCIATES
770 BALGREEN DR
SUITE 107
MANSFIELD, OH
ZIP 44906
Phone: (419) 522-0320
Fax: (419) 522-0350



Authorized Official

Authorized Official Name KELLY M. KNOTT
Authorized Official TitlePRACTICE ADMINISTRATOR
Authorized Official Phone(419) 522-0320

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
2523675MEDICAID (05)OH

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821099615 CHRIST JOHN TICORAS M.D.
Individual
Dermatology770 BALGREEN DR STE 201
MANSFIELD, OH 44906
(419) 756-1600
1093984767WALTER G. BODJANAC, DO, LLC
Organization
Plastic Surgery770 BALGREEN DR SUITE 109
MANSFIELD, OH 44906
(419) 756-9996
1316225618ENT CENTRAL LLC
Organization
Otolaryngology770 BALGREEN DR SUITE 209
MANSFIELD, OH 44906
(419) 756-5500
1093085466WILLIAM SCOTT BALLINGER,M.D.
Organization
Internal Medicine770 BALGREEN DR SUITE 203
MANSFIELD, OH 44906
(419) 756-6366
1073528733ADVANCED DERMATOLOGY OF NORTH CENTRAL OHIO INC
Organization
Dermatology (Procedural Dermatology)770 BALGREEN DR STE 201
MANSFIELD, OH 44906
(419) 756-1600
1023306263LAB ONE OF OHIO INC
Organization
Clinical Medical Laboratory770 BALGREEN DR
MANSFIELD, OH 44906
(419) 283-0714
1558609990THIRD STREET COMMUNITY CLINIC, INC
Organization
Obstetrics & Gynecology770 BALGREEN DR
MANSFIELD, OH 44906
(419) 522-6800
1396147831 KRISTYN LIVORNO
Individual
Audiologist770 BALGREEN DR STE. 209
MANSFIELD, OH 44906
(419) 526-3404
1679766034 MYKOLA O. PRYKHODKO M.D.
Individual
Otolaryngology770 BALGREEN DR SUITE 209
MANSFIELD, OH 44906
(419) 756-5500
1124478425 JEFFREY M. WALTHOUR PHARM.D.
Individual
Pharmacist770 BALGREEN DR SUITE 104
MANSFIELD, OH 44906
(419) 526-8972
1730167602DR. WILLIAM SCOTT BALLINGER M.D.
Individual
Internal Medicine770 BALGREEN DR SUITE 203
MANSFIELD, OH 44906
(419) 756-6366
1639145840 WALTER W SCHOUTKO MD
Individual
Obstetrics & Gynecology770 BALGREEN DR SUITE 207
MANSFIELD, OH 44906
(419) 522-6800
1093724403 ELIZABETH A BROWN M.D.
Individual
Internal Medicine (Pulmonary Disease)770 BALGREEN DR SUITE 107
MANSFIELD, OH 44906
(419) 522-0320
1306958723CORNERSTONE OB-GYN, INC
Organization
Obstetrics & Gynecology770 BALGREEN DR SUITE 207
MANSFIELD, OH 44906
(419) 522-6800
1639151715 CAROLYN A CHAMBERS MD
Individual
Obstetrics & Gynecology770 BALGREEN DR
MANSFIELD, OH 44906
(419) 522-6800
1790751998 JAMES M ALFORD MD
Individual
Obstetrics & Gynecology770 BALGREEN DR SUITE 207
MANSFIELD, OH 44906
(419) 522-6800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.