Active NPI
Clear Springs Medical Center LTD
- Obstetrics Physician
- Kidron, OH
National Provider Identifier
1164612933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 34005514
- 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, 2007
- 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
- Dr. Daniel J Cain, D.O.
- Title
- Physician
- Phone
- (330) 857-5787
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.