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NORTHEASTERN OHIO MEDICAL SPECIALISTS INC NPI 1609959931


NPI Information

NPI: 1609959931
Provider Name: NORTHEASTERN OHIO MEDICAL SPECIALISTS INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 36D2113719

Address:
470 WHITE POND DR STE 100
AKRON, OH
ZIP 44320
Phone: (330) 869-8530
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NORTHEASTERN OHIO MEDICAL SPECIALISTS INC is an internal medicine in Akron, OH. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. NORTHEASTERN OHIO MEDICAL SPECIALISTS INC NPI is 1609959931. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

470 WHITE POND DR STE 100
AKRON, OH
ZIP 44320-185
Phone: (330) 869-8530
Fax: (330) 869-8539

The provider's authorized official is Shannon Rae Scott .
The authorized official title is Administrative Assistant and has the following contact phone number (330) 869-8530.

The CLIA number assigned to this NPI record is 36D2113719 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 2/24/2009.


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
1207Q00000XFamily Medicine35-07-3269-WOHIONo
2207R00000XInternal Medicine35-07-3029MOHIONo
3363LA2200XNurse PractitionerAdult HealthNP67943OHIONo
4207R00000XInternal Medicine35-07-7486MOHIOYes

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
19317331MEDICARE ID-TYPE UNSPECIFIEDOHIO
22269147MEDICAIDOHIO

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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