Organization Active NPI

S & J Med., Inc.

  • Internal Medicine Physician
  • Warren, OH
National Provider Identifier
1083684658
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Feb 26, 2021

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2373140MedicaidOH

Other names 1

  • PARKMAN MEDICAL GROUP Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EHR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040109000550 OH Part B Supplier - Clinic/Group Practice 7416857289 Receives reassigned benefits from 5 practitioners
Practice locations: Warren, OH; Niles, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0341811S & J Med Inc/Parkman Med GRP2760 Parkman Road NW, Warren, OH 44485Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

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.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.