David R Didur, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

34005849 Issued in OH

Practice address

400 Austin Ave NW
Massillon, OH 44646-3598

Phone

(216) 837-7200

NPI assigned

May 31, 2006

Last updated

Feb 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Ohio University, College of Osteopathic Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pomerene HospitalGroup PAC ID 5496856270, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pomerene Hospital Hospital, Millersburg, OH, CCN 360148
• Pomerene Hospital Hospital, Millersburg, OH, CCN 361337

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Medicare reassignment Care Compare group NPD
• Steel Valley Emergency Physicians Twin City Inc

  • Emergency Medicine Physician
  • Dennison, OH
  • NPI 1205187598
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1033156104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12521 ELLSWORTH RD",
            "city": "NORTH JACKSON",
            "state": "OH",
            "postal_code": "44451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 AUSTIN AVE NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446463598",
            "telephone_number": "216-837-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIDUR",
        "first_name": "DAVID",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34005849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636418",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0951493",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RR-GA",
            "identifier": "P00319997",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DHSC LLC (Affinity Medical Center)
• DHSC LLC (Affinity Medical Center)
• DHSC LLC (Family Medical Equipment)
• Jennifer Ann Diaz, APRN
• Ronda L Dicicco
• Kailyn Digiambattista
• Eleni Dimitriadis, MD
• Justin Michael Doan
• Lilybeth Contreras Dobran, COTA
• Doctors Hospital Physician Services LLC

• Emergency Medicine Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.