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OPTIMUM CARDIOLOGY INC NPI 1982168100


NPI Information

NPI: 1982168100
Provider Name: OPTIMUM CARDIOLOGY INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 36D2162877

Address:
4825 HIGBEE AVE NW STE 102
CANTON, OH
ZIP 44718
Phone: (330) 492-2102
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OPTIMUM CARDIOLOGY INC is a cardiovascular disease internal medicine in Canton, 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. OPTIMUM CARDIOLOGY INC NPI is 1982168100. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4825 HIGBEE AVE NW STE 102
CANTON, OH
ZIP 44718-567
Phone: (330) 492-2102
Fax: (330) 492-1025

The provider's authorized official is Barbara L Utlak .
The authorized official title is Practice Manager and has the following contact phone number (330) 492-2102.

The CLIA number assigned to this NPI record is 36D2162877 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2019 and was last updated on 8/29/2023.


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 DiseaseYes

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
10534952MEDICAIDOHIO

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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