Organization Active NPI

David Rich M D Inc

  • Family Medicine Physician
  • Youngstown, OH
National Provider Identifier
1144340076
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVID RICH M D INC
Practice address
2959 Canfield Rd
Suites 8 & 9
Youngstown, OH 44511-2800
Phone
(330) 797-0222
Fax
(330) 797-0058
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Authorized official

Name
Dr. David Rich, MD
Title
President
Phone
(330) 797-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2959 Canfield Rd
Suites 8 & 9
Youngstown, OH 44511-2800

Mailing address

2959 Canfield Rd
Suites 8 & 9
Youngstown, OH 44511-2800
Phone (330) 797-0222

Other identifiers 2

IdentifierTypeStateIssuer
0914934MedicaidOH
CJ3168OtherOHRR MEDICARE

National Provider Directory

National Provider Directory

Locations

2959 Canfield Rd
Ste 89
Youngstown, OH 44511
Phone (330) 797-0222

2959 Canfield Rd
Ste 8
Youngstown, OH 44511
Phone (216) 797-0222

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1144340076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 CANFIELD RD",
            "address_2": "SUITES 8 & 9",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112800",
            "telephone_number": "330-797-0222",
            "fax_number": "330-797-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 CANFIELD RD",
            "address_2": "SUITES 8 & 9",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445112800",
            "telephone_number": "330-797-0222",
            "fax_number": "330-797-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID RICH M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-797-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0914934",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ3168",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; 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.