NPIMap

Organization Active NPI

Pioneer Physicians Network Inc

  • Family Medicine Physician
  • Canton, OH
National Provider Identifier
1174296172
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PIONEER PHYSICIANS NETWORK INC
Practice address
5454 Fulton Dr NW
Canton, OH 44718-1727
Phone
(330) 899-1051
Fax
(330) 634-1329
NPI assigned
Jul 27, 2021
Last updated
Jul 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Paula Moore
Title
Credentialing Liaision
Phone
(234) 271-3353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

5454 Fulton Dr NW
Canton, OH 44718-1727

Mailing address

3515 Massillon Rd Ste 300
Uniontown, OH 44685-7854
Phone (234) 271-3353

Other identifiers 1

IdentifierTypeStateIssuer
0194267MedicaidOH

National Provider Directory

National Provider Directory

Locations

2651 W Market St
Ste 2
Fairlawn, OH 44333
Phone (330) 864-4488

4444 Arlington Rd
Green, OH 44685
Phone (330) 406-8846

2300 Wales Ave NW
Ste 100
Massillon, OH 44646
Phone (330) 832-3188

4466 Darrow Rd
Ste 2
Stow, OH 44224
Phone (216) 688-3657

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA

Practitioners & affiliated clinicians

Practitioners 112

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1174296172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857854",
            "telephone_number": "234-271-3353",
            "fax_number": "330-899-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 FULTON DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181727",
            "telephone_number": "330-899-1051",
            "fax_number": "330-634-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHYSICIANS NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CREDENTIALING LIAISION",
        "authorized_official_telephone_number": "234-271-3353"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194267",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.