Organization Active NPI

Clear Springs Medical Center LTD

  • Obstetrics Physician
  • Kidron, OH
National Provider Identifier
1164612933
Registry record updated Oct 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
34005514 Issued in OH
Legal business name
CLEAR SPRINGS MEDICAL CENTER LTD
Practice address
4774 Kidron Rd.
Kidron, OH 44636
Phone
(330) 857-5787
Fax
(330) 857-8812
NPI assigned
Jul 27, 2007
Last updated
Oct 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2007

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

Authorized official

Name
Dr. Daniel J Cain, D.O.
Title
Physician
Phone
(330) 857-5787

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 01531 OH
Reproductive Endocrinology Physician 207VE0102X 35080282 OH
Obstetrics Physician 207VX0000X 34005514 OH Primary

Addresses

Primary practice location

4774 Kidron Rd.
Kidron, OH 44636

Mailing address

PO Box 268
4774 Kidron Rd.
Kidron, OH 44636-0268
Phone (330) 857-5787

Other names 1

  • Clear Springs Medical Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1164612933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "address_2": "4774 KIDRON RD.",
            "city": "KIDRON",
            "state": "OH",
            "postal_code": "446360268",
            "telephone_number": "330-857-5787",
            "fax_number": "330-857-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4774 KIDRON RD.",
            "city": "KIDRON",
            "state": "OH",
            "postal_code": "44636",
            "telephone_number": "330-857-5787",
            "fax_number": "330-857-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SPRINGS MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-857-5787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "01531",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "OH",
            "license": "35080282",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OH",
            "license": "34005514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Springs Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kidron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.