Organization Active NPI

Falcon Healthcare, Inc.

  • Internal Medicine Physician
  • Canton, OH
National Provider Identifier
1063913317
Registry record updated Feb 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.129447 Issued in OH
Legal business name
FALCON HEALTHCARE, INC.
Practice address
1445 Harrison Ave NW Ste 105
Canton, OH 44708-2634
Phone
(330) 455-4531
Fax
(330) 455-0119
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2018

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

Authorized official

Name
Dr. Andrew John Herman, MD
Title
Ceo
Phone
(330) 705-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35.129447 OH Primary

Addresses

Primary practice location

1445 Harrison Ave NW Ste 105
Canton, OH 44708-2634

Mailing address

1445 Harrison Ave NW Ste 105
Canton, OH 44708-2634
Phone (330) 455-4531

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1063913317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 HARRISON AVE NW STE 105",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082634",
            "telephone_number": "330-455-4531",
            "fax_number": "330-455-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 HARRISON AVE NW STE 105",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082634",
            "telephone_number": "330-455-4531",
            "fax_number": "330-455-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALCON HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-705-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.129447",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 22, 2018; 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.