| NPI | 1619959822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DURBIN Revenue Cycle Manager 330-332-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 208200000X Plastic Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| 208VP0000X | |
| 261QX0200X Clinic/Center, Oncology | |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2023-09-05 |