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ATRIUM OB/GYN. INC. NPI 1073509881


NPI Information

NPI: 1073509881
Provider Name: ATRIUM OB/GYN., INC.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 36D0684390

Address:
4151 HOLIDAY ST NW
CANTON, OH
ZIP 44718
Phone: (330) 492-8001
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ATRIUM OB/GYN., INC. is a specialist in Canton, OH. The provider is an 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. ATRIUM OB/GYN., INC. NPI is 1073509881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4151 HOLIDAY ST NW
CANTON, OH
ZIP 44718-531
Phone: (330) 492-8001
Fax: (330) 492-2080

The provider's authorized official is Lee Ann Thorn .
The authorized official title is Executive Director and has the following contact phone number (330) 492-8001.

The CLIA number assigned to this NPI record is 36D0684390 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/27/2005 and was last updated on 10/24/2012.


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
1174400000XSpecialistYes

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
10008335MEDICAIDOHIO
2AT9259361MEDICARE ID-TYPE UNSPECIFIEDOHIO

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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