| NPI | 1205169836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M THEISS VP Business Operations 330-926-3537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207X00000X Orthopaedic Surgery | |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery | |
| 207RS0012X Internal Medicine, Sleep Medicine | |
| 207RC0200X Internal Medicine, Critical Care Medicine | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 207N00000X Dermatology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2025-09-23 |