1992500375 NPI number — PAIGE KING

Table of content: PAIGE KING (NPI 1992500375)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992500375 NPI number — PAIGE KING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KING
Provider First Name:
PAIGE
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992500375
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/18/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12278 COOPERS RUN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STRONGSVILLE
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44149-9238
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-314-3562
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12278 COOPERS RUN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STRONGSVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44149-9238
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-314-3562
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/18/2025

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 172A00000X , with the licence number:  UZ721136 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3747P1801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5554354 . This is a "AMERICAN SAFETY AND HEALTH INSTITUTE BASIC LIFE SUPPORT CERTIFICATION" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: E3735769 . This is a "NATIONAL EMS CERTIFICATION - EMT" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0194283 . This is a "EMERGENCY MEDICAL TECHNICIAN OHIO CERTIFICATION" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".




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