Individual provider Active NPI

Thomas B Poulton, MD

  • Diagnostic Radiology Physician
  • Canton, OH
National Provider Identifier
1154305670
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35 044985 Issued in OH
Practice address
2600 6TH St SW
Radiology Associates of Canton, Inc
Canton, OH 44710-1702
Phone
(330) 363-2842
Fax
(330) 580-5536
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 35 044985 OH
Diagnostic Radiology Physician 2085R0202X 35 044985 OH Primary
Nuclear Radiology Physician 2085N0904X 35 044985 OH

Addresses

Primary practice location

2600 6TH St SW
Radiology Associates of Canton, Inc
Canton, OH 44710-1702

Mailing address

P.O. Box 72384
Radiology Associates of Canton, Inc.
Cleveland, OH 44192
Phone (888) 686-1837

Other identifiers 2

IdentifierTypeStateIssuer
300044107OtherOHRAILROAD MEDICARE
0449250MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040217000835 OH Practitioner - Diagnostic Radiology 6103738364 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Miami, LM Miller School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

111 S Grant Ave
Ohiohealth Grant Medical Center
Columbus, OH 43215-4701
Phone (614) 228-7231

3355 Old Weymouth Rd
Medina, OH 44256-9206
Phone (888) 522-4514

5457 Stow Rd
Hudson, OH 44236-4138
Phone (888) 522-4514

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 044985OHMDNuclear Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stark County Pathologists Inc Current Accepting new patients
Aultman Now Urgent Care, LLC CurrentSince Nov 17, 2021 Accepting new patients
Aultman Hospital CurrentSince Mar 29, 2014 Accepting new patients
Radiology Associates of Canton, Inc Diagnostic Radiology CurrentSince Jul 1, 1993 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Aultman Hospital Current Accepting new patients
Radiology Associates of Canton, Inc. Body Imaging CurrentSince Jul 1, 1993 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Jul 7, 2018 Accepting new patients
Canton Aultman Emergency Physicians Inc Current Accepting new patients
Community Health Care Inc. Past Accepting new patients

Locations (25 of 44)

75 Glamorgan St
Alliance, OH 44601
Phone (330) 452-8844

2461 W State St
Ste A
Alliance, OH 44601
Phone (330) 596-6570

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

1401 S Arch Ave
Ste A
Alliance, OH 44601
Phone (330) 249-7011

155 5th St NE
#H
Barberton, OH 44203
Phone (330) 615-3000

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281

4151 Holiday St NW
Canton, OH 44718
Phone (330) 492-8001

2821 Woodlawn Ave NW
Canton, OH 44708
Phone (330) 479-4800

7066 Fulton Dr NW
Canton, OH 44718
Phone (330) 363-8567

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

4105 Holiday St NW
Canton, OH 44718
Phone (330) 332-0711

2600 Tuscarawas St W
Ste 100
Canton, OH 44708
Phone (330) 452-8844

5000 Higbee Ave NW
Canton, OH 44718
Phone (330) 493-0313

1020 Trump Rd NW
Carrollton, OH 44615
Phone (330) 627-0091

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

4774 Kidron Rd
Dalton, OH 44618

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

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

110 Dublin Dr
Dover, OH 44622
Phone (330) 343-0753

3000 Mack Rd
Hamilton, OH 45014
Phone (513) 870-7000

855 W Maple St
Ste 120
Hartville, OH 44632
Phone (330) 587-3148

Organizations & group practices 10

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1154305670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 72384",
            "address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC.",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44192",
            "telephone_number": "888-686-1837",
            "fax_number": "330-686-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-363-2842",
            "fax_number": "330-580-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULTON",
        "first_name": "THOMAS",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "OH",
            "license": "35 044985",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35 044985",
            "primary": true
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "OH",
            "license": "35 044985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300044107",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0449250",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.