Towpath Trail Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TOWPATH TRAIL FAMILY MEDICINE

Practice address

1230 Market St NE
Navarre, OH 44662

Phone

(330) 879-5983

Fax

(330) 879-9527

NPI assigned

Oct 12, 2006

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gertrude P Cotiaux, MDNPI 1376525667

Title

President

Phone

(330) 879-5983

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tigertown Family Practice Inc. Former legal business name

Locations

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.

• Gertrude PO Cotiaux, M.D.

  • Family Medicine Physician
  • Boiling Springs, SC
  • NPI 1376525667
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1053400507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-833-5530",
            "fax_number": "330-833-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 MARKET ST NE",
            "city": "NAVARRE",
            "state": "OH",
            "postal_code": "44662",
            "telephone_number": "330-879-5983",
            "fax_number": "330-879-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWPATH TRAIL FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "COTIAUX",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-879-5983",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2813754",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tigertown Family Practice Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• William Michael Schumacher, CDCA
• Larry Allen Seward, DDS
• Ladonna Marie Shackle, HOMEMAKER
• Jordan Silcox, LPN
• Annette Smith, PHR
• Village of Navarre (Navarre Village Fire Department)
• Linda Michelle Watkins
• Samantha Mae Weyandt
• James Todd Yazvec
• Jodie Lynn Yazvec

• Family Medicine Physician in Navarre, OH
• Providers in Navarre, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.