Organization Active NPI

Pediatric and Family Medicine Health Care Inc.

  • Primary Care Clinic/Center
  • Massillon, OH
National Provider Identifier
1013034206
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35-100320 Issued in OH
Legal business name
PEDIATRIC AND FAMILY MEDICINE HEALTH CARE INC.
Practice address
2400 Wales Ave NW
Suite C & D
Massillon, OH 44646-0804
Phone
(330) 837-4467
Fax
(330) 837-4688
NPI assigned
Mar 23, 2007
Last updated
Mar 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Delia Slaga, MDNPI 1881651594
Title
Owner
Phone
(330) 837-4467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35-100320 OH Primary

Addresses

Primary practice location

2400 Wales Ave NW
Suite C & D
Massillon, OH 44646-0804

Mailing address

2400 Wales Ave NW
Suite C & D
Massillon, OH 44646-0804
Phone (330) 837-4467

Other identifiers 1

IdentifierTypeStateIssuer
2673192MedicaidOH

National Provider Directory

National Provider Directory

Locations

2400 Wales Ave NW
Ste C
Massillon, OH 44646
Phone (330) 244-9688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1013034206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW",
            "address_2": "SUITE C & D",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446460804",
            "telephone_number": "330-837-4467",
            "fax_number": "330-837-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 WALES AVE NW",
            "address_2": "SUITE C & D",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446460804",
            "telephone_number": "330-837-4467",
            "fax_number": "330-837-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC AND FAMILY MEDICINE HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "SLAGA",
        "authorized_official_first_name": "DELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-837-4467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35-100320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2673192",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.