Organization Active NPI

Tom Violand, D.O. Medical Clinic

  • General Practice Physician
  • Canton, OH
National Provider Identifier
1104123595
Registry record updated Feb 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34.001130 Issued in OH
Legal business name
TOM VIOLAND, D.O. MEDICAL CLINIC
Practice address
4088 Holiday St NW
Canton, OH 44718-2513
Phone
(330) 491-9797
Fax
(330) 491-9820
NPI assigned
Feb 21, 2011
Last updated
Feb 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2011

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

Authorized official

Name
Dr. Thomas E Violand, D.O.
Title
Owner
Phone
(330) 491-9797

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X 34.001130 OH
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 34.001130 OH Primary

Addresses

Primary practice location

4088 Holiday St NW
Canton, OH 44718-2513

Mailing address

4088 Holiday St NW
Canton, OH 44718-2513
Phone (330) 491-9797

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298246400000",
    "number": "1104123595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182513",
            "telephone_number": "330-491-9797",
            "fax_number": "330-491-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182513",
            "telephone_number": "330-491-9797",
            "fax_number": "330-491-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM VIOLAND, D.O. MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2011-02-21",
        "status": "A",
        "authorized_official_last_name": "VIOLAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-491-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.001130",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "34.001130",
            "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 21, 2011; 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.