ROBERT B PACKER MD NPI 1679572317

NPI Information

  • NPI: 1679572317
  • Provider Name: ROBERT B PACKER, MD
  • Classification: Internal Medicine - 207RP1001X
  • Specialization: Pulmonary Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1330 MERCY DR NW
    CANTON, OH
    ZIP 44708
  • Phone: (330) 489-1454

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NPI Details

Robert B Packer, MD is a pulmonary disease internal medicine in Canton, OH. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Robert B Packer, MD NPI is 1679572317. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1330 MERCY DR NW
CANTON, OH
ZIP 44708
Phone: (330) 489-1454

The NPI 1679572317 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2005 and was last updated on 5/16/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice28167OHIONo
2207RC0200XInternal MedicineCritical Care Medicine35-028167OHIONo
3207RP1001XInternal MedicinePulmonary Disease35-028167OHIOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A73556MEDICARE UPIN
23643220MEDICARE PIN
3PA036432200MEDICARE ID-TYPE UNSPECIFIED
40168983MEDICAIDOHIO
5H090900MEDICARE PINOHIO

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: 11/21/2025

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