Organization Active NPI

Michael Tirmonia, DO, Inc

  • Primary Care Clinic/Center
  • Canton, OH
National Provider Identifier
1063736726
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
34-00-6209-T Issued in OH
Legal business name
MICHAEL TIRMONIA, DO, INC
Practice address
1330 Mercy Dr NW Ste 324
Canton, OH 44708-2625
Phone
(330) 489-1428
Fax
(330) 430-2761
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. Michael Virgil Tirmonia, D.O.
Title
President/Owner
Phone
(330) 489-1428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 34-00-6209-T OH Primary

Addresses

Primary practice location

1330 Mercy Dr NW Ste 324
Canton, OH 44708-2625

Mailing address

1330 Mercy Dr NW Ste 324
Canton, OH 44708-2625
Phone (330) 489-1428

Other identifiers 2

IdentifierTypeStateIssuer
0820561OtherOHMEDICARE IDENTIFICATION NUMBER
36D0917207OtherOHCLIA NUMBER

National Provider Directory

National Provider Directory

Locations

1330 Mercy Dr NW
Ste 324
Canton, OH 44708
Phone (330) 489-1428

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1063736726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 MERCY DR NW STE 324",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082625",
            "telephone_number": "330-489-1428",
            "fax_number": "330-430-2761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 MERCY DR NW STE 324",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082625",
            "telephone_number": "330-489-1428",
            "fax_number": "330-430-2761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL TIRMONIA, DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "TIRMONIA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "VIRGIL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "330-489-1428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34-00-6209-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IDENTIFICATION NUMBER",
            "identifier": "0820561",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA NUMBER",
            "identifier": "36D0917207",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.