NPIMap

Organization Active NPI

Cardiology One, Inc

  • Cardiovascular Disease Physician
  • Canton, OH
National Provider Identifier
1114026226
Registry record updated Oct 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0980710 Issued in OH
Legal business name
CARDIOLOGY ONE, INC
Practice address
4466 Fulton Dr NW
Canton, OH 44718-2864
Phone
(330) 489-1386
Fax
(330) 526-0069
NPI assigned
Sep 22, 2006
Last updated
Oct 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2015

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

Authorized official

Name
Dr. Mohamad S Kassir, M.DNPI 1295775716
Title
President
Phone
(330) 489-1386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 0980710 OH Primary

Addresses

Primary practice location

4466 Fulton Dr NW
Canton, OH 44718-2864

Mailing address

4466 Fulton Dr NW
Canton, OH 44718-2864
Phone (330) 489-1386

Other identifiers 2

IdentifierTypeStateIssuer
9269611OtherOHOTHER MEDICARE
0980710MedicaidOH

National Provider Directory

National Provider Directory

Locations

1330 Mercy Dr NW
Ste 509
Canton, OH 44708
Phone (330) 489-1386

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1114026226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4466 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182864",
            "telephone_number": "330-489-1386",
            "fax_number": "330-526-0127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182864",
            "telephone_number": "330-489-1386",
            "fax_number": "330-526-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOLOGY ONE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "KASSIR",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-489-1386",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "0980710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER MEDICARE",
            "identifier": "9269611",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0980710",
            "state": "OH"
        }
    ],
    "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 Oct 20, 2015; 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.