Active NPI
Emergency Medicine Physicians of Athens County, LTD
- Emergency Medicine Physician
- Athens, OH
National Provider Identifier
1093992273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- EMERGENCY MEDICINE PHYSICIANS OF ATHENS COUNTY, LTD
- Practice address
- 55 Hospital Dr
Athens, OH 45701-2302 - Phone
- (330) 493-4443
- Fax
- (330) 493-8677
- NPI assigned
- Jan 30, 2008
- 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
- David C Packo, MD
- Title
- President
- Phone
- (330) 493-4443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
55 Hospital Dr
Athens, OH 45701-2302
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2086906 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201651200000",
"number": "1093992273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 HOSPITAL DR",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012302",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGENCY MEDICINE PHYSICIANS OF ATHENS COUNTY, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-30",
"last_updated": "2008-01-30",
"status": "A",
"authorized_official_last_name": "PACKO",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-493-4443",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2086906",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.