Active NPI
S & J Med., Inc.
- Internal Medicine Physician
- Warren, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- S & J MED., INC.
- Practice address
- 2760 Parkman Rd NW
Warren, OH 44485-1635 - Phone
- (330) 898-1723
- Fax
- (330) 898-7596
- NPI assigned
- Jan 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Kamer
- Title
- Billing Clerk
- Phone
- (330) 898-1723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2760 Parkman Rd NW
Warren, OH 44485-1635
Mailing address
2760 Parkman Rd NW
Warren, OH 44485-1635
Phone (330) 898-1723
Other practice location 1
940 Robbins Ave
Niles, OH 44446-2468
Phone (330) 652-7973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2373140 | Medicaid | OH |
Other names 1
- PARKMAN MEDICAL GROUP
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | EHR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0341811 | S & J Med Inc/Parkman Med GRP | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
2760 Parkman Rd NW
Warren, OH 44485
Phone (330) 898-1723
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Internal Medicine Physician
- Niles, OH
- NPI 1205816501
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Brookfield, OH
- NPI 1932502705
-
- Family Nurse Practitioner
- Warren, OH
- NPI 1255197620
-
- Internal Medicine Physician
- Niles, OH
- NPI 1285625194
-
- Internal Medicine Physician
- Niles, OH
- NPI 1285616383
-
- Internal Medicine Physician
- Niles, OH
- NPI 1467449371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614297600000",
"number": "1083684658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 PARKMAN RD NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444851635",
"telephone_number": "330-898-1723",
"fax_number": "330-898-7596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2760 PARKMAN RD NW",
"city": "WARREN",
"state": "OH",
"postal_code": "444851635",
"telephone_number": "330-898-1723",
"fax_number": "330-898-7596"
}
],
"practiceLocations": [
{
"address_1": "940 Robbins Ave",
"address_purpose": "LOCATION",
"city": "Niles",
"state": "OH",
"postal_code": "444462468",
"country_code": "US",
"telephone_number": "330-652-7973",
"fax_number": "330-652-7876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "S & J MED., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-25",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A",
"authorized_official_last_name": "KAMER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "BILLING CLERK",
"authorized_official_telephone_number": "330-898-1723"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2373140",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "EHR",
"affiliation": "N",
"address_1": "940 Robbins Ave",
"city": "Niles",
"state": "OH",
"country_code": "US",
"postal_code": "444462468",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "PARKMAN MEDICAL GROUP",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PARKMAN MEDICAL GROUP",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.