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AUGLAIZE MERCER CARDIOLOGY INC NPI 1871961144


NPI Information

NPI: 1871961144
Provider Name: AUGLAIZE MERCER CARDIOLOGY INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 36D2140747

Address:
03920 SOUTHLAND RD
NEW BREMEN, OH
ZIP 45869
Phone: (419) 629-3663
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AUGLAIZE MERCER CARDIOLOGY INC is a cardiovascular disease internal medicine in New Bremen, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. AUGLAIZE MERCER CARDIOLOGY INC NPI is 1871961144. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

03920 SOUTHLAND RD
NEW BREMEN, OH
ZIP 45869-790
Phone: (419) 629-3663
Fax: (419) 629-2783

The provider's authorized official is Rajendra Kakarla .
The authorized official title is President and has the following contact phone number (419) 629-3663.

The CLIA number assigned to this NPI record is 36D2140747 - other - day hab/worksite for dd with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2015 and was last updated on 9/3/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease35062730OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F17150MEDICARE UPIN
20266135MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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