NPIMap

Organization Active NPI

Pioneer Physicians Network, Inc.

  • Internal Medicine Physician
  • Uniontown, OH
National Provider Identifier
1194058446
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PIONEER PHYSICIANS NETWORK, INC.
Practice address
1640 Corporate Woods Cir
Uniontown, OH 44685-7819
Phone
(330) 899-9350
Fax
(330) 899-9395
NPI assigned
Sep 17, 2009
Organization subpart
Yes
Parent organization
PIONEER PHYSICIANS NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Kathleen M Kostelnick, CMM
Title
Practice Administrator
Phone
(330) 899-9350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1640 Corporate Woods Cir
Uniontown, OH 44685-7819

Mailing address

4880 S Main St
Ste 4
Akron, OH 44319-4474
Phone (330) 923-2700

Other names 1

  • South Main Street Medical Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Physician Netwo5 organizations share this tax ID, including this one
Part of
Pioneer Physician Netwo

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1194058446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 S MAIN ST",
            "address_2": "STE 4",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443194474",
            "telephone_number": "330-923-2700",
            "fax_number": "330-634-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CORPORATE WOODS CIR",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857819",
            "telephone_number": "330-899-9350",
            "fax_number": "330-899-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHYSICIANS NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER PHYSICIANS NETWORK, INC.",
        "enumeration_date": "2009-09-17",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "KOSTELNICK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "330-899-9350",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Main Street Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.