ENDOCRINOLOGY ASSOCIATES OF OHIO LLC NPI 1942344387

NPI Information

NPI: 1942344387
Provider Name: ENDOCRINOLOGY ASSOCIATES OF OHIO, LLC
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

CLIA Number: 36D1059633

Address:
3694 STARRS CENTRE DR
CANFIELD, OH
ZIP 44406
Phone: (330) 702-1310
Get Directions

ENDOCRINOLOGY ASSOCIATES OF OHIO, LLC is an endocrinology and diabetes and metabolism internal medicine in Canfield, OH. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ENDOCRINOLOGY ASSOCIATES OF OHIO, LLC NPI is 1942344387. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3694 STARRS CENTRE DR
CANFIELD, OH
ZIP 44406-514
Phone: (330) 702-1310

The provider's authorized official is Michael Derosa .
The authorized official title is Proprietor and has the following contact phone number (330) 702-1310.

The CLIA number assigned to this NPI record is 36D1059633 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/19/2007 and was last updated on 8/22/2020.

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
1	207RE0101X	Internal Medicine	Endocrinology, Diabetes & Metabolism	34008028D	OHIO	Yes

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
1	DD8266	OTHER	OHIO	RAILROADMEDICARE

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: 5/5/2024

NPI Synchronization or Removal

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