NPIMap

Individual provider Active NPI

Milan R. Dopirak, M.D.

  • Cardiovascular Disease Physician
  • Canton, OH
National Provider Identifier
1144209180
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35-03-7340 Issued in OH
Practice address
2600 6TH St SW
Suite A2-710
Canton, OH 44710-1702
Phone
(330) 454-8076
Fax
(330) 454-3927
NPI assigned
Jan 10, 2006
Last updated
Apr 17, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35-03-7340 OH Primary

Addresses

Primary practice location

2600 6TH St SW
Suite A2-710
Canton, OH 44710-1702

Mailing address

2600 6TH St SW
Suite A2-710
Canton, OH 44710-1702
Phone (330) 454-8076

Other identifiers 1

IdentifierTypeStateIssuer
0258617MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050719000662 OH Practitioner - Cardiovascular Disease (Cardiology) 8022905827 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Union Hospital Association CurrentSince Aug 1, 2001 Accepting new patients
Stark County Pathologists Inc Current Accepting new patients
Aultman Hospital CurrentSince Jan 1, 1987 Accepting new patients
Aultman Hospital Current Accepting new patients
Aultman Hospital CurrentSince Jan 1, 1987 Accepting new patients
Canton Aultman Emergency Physicians Inc Current Accepting new patients
The Union Hospital Association CurrentSince Aug 1, 2001 Accepting new patients

Locations

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2600 6th St SW
#A2710
Canton, OH 44710

2600 6th St SW
Ste A2710
Canton, OH 44710
Phone (330) 429-5656

2600 Tuscarawas St W
Ste 500
Canton, OH 44708
Phone (330) 452-8858

2600 Tuscarawas St W
Ste 600
Canton, OH 44708
Phone (330) 453-4300

659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311

Interoperability endpoints

  • Direct secure messaging: milandopirak@ccoppc.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aultman Hospital Health Care in Your HomeCanton, OH, CCN 367290 Home health agency Corporate Officer Jan 1, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1144209180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "SUITE A2-710",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-454-8076",
            "fax_number": "330-454-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "SUITE A2-710",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-454-8076",
            "fax_number": "330-454-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOPIRAK",
        "first_name": "MILAN",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35-03-7340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0258617",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.