Organization Active NPI

Compassion Inc., Pain and Palliative SVCS.

Doing business as East Avenue Family Practice

  • Family Medicine Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1043216914
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COMPASSION INC., PAIN AND PALLIATIVE SVCS.
Doing business as
East Avenue Family Practice
Practice address
405 Tallmadge Rd
Ste 120
Cuyahoga Falls, OH 44221-3342
Phone
(330) 475-7535
Fax
(330) 848-2332
NPI assigned
Jun 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Katherine Lilly Richmond, D.O.
Title
President
Phone
(330) 475-7535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OH Primary

Addresses

Primary practice location

405 Tallmadge Rd
Ste 120
Cuyahoga Falls, OH 44221-3342

Mailing address

405 Tallmadge Rd
Ste 120
Cuyahoga Falls, OH 44221-3342
Phone (330) 475-7535

Other identifiers 2

IdentifierTypeStateIssuer
P00051741OtherOHRAILROAD MEDICARE GROUP
729280OtherOHBCHP ORGANIZATION ID

Other names 1

  • East Avenue Family Practice Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043216914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD",
            "address_2": "STE 120",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213342",
            "telephone_number": "330-475-7535",
            "fax_number": "330-848-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD",
            "address_2": "STE 120",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213342",
            "telephone_number": "330-475-7535",
            "fax_number": "330-848-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSION INC., PAIN AND PALLIATIVE SVCS.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICHMOND",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LILLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-475-7535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "P00051741",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCHP ORGANIZATION ID",
            "identifier": "729280",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Avenue Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.