Active NPI
Pace Healthcare LLC
- Family Medicine Physician
- Barberton, OH
National Provider Identifier
1124750617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PACE HEALTHCARE LLC
- Practice address
- 101 5TH St SE Ste D
Barberton, OH 44203-4225 - Phone
- (330) 625-4900
- Fax
- (330) 685-9355
- NPI assigned
- Jun 24, 2022
- 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
- Keith Hostetler
- Title
- Practice Administrator
- Phone
- (330) 855-4709
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
101 5TH St SE Ste D
Barberton, OH 44203-4225
Mailing address
5225 Cleveland Rd Ste F
Wooster, OH 44691-5541
Phone (330) 625-4900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200512001755 | OH | Part B Supplier - Clinic/Group Practice | 3779914502 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Barberton, OH; Wooster, OH |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Pace Healthcare LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Wooster, OH
- NPI 1992334858
Locations
5225 Cleveland Rd
Ste F
Wooster, OH 44691
Phone (330) 466-0724
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gerontology Nurse Practitioner
- Medina, OH
- NPI 1720704323
-
- Family Nurse Practitioner
- Ashland, OH
- NPI 1013345768
-
- Family Medicine Physician
- Wooster, OH
- NPI 1265402499
-
- Acute Care Nurse Practitioner
- Mogadore, OH
- NPI 1871174284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656028800000",
"number": "1124750617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 CLEVELAND RD STE F",
"city": "WOOSTER",
"state": "OH",
"postal_code": "446915541",
"telephone_number": "330-625-4900",
"fax_number": "330-685-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 5TH ST SE STE D",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442034225",
"telephone_number": "330-625-4900",
"fax_number": "330-685-9355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACE HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-24",
"last_updated": "2022-06-24",
"certification_date": "2022-06-24",
"status": "A",
"authorized_official_last_name": "HOSTETLER",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "330-855-4709"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barberton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.