Organization Active NPI

James P. Dambrogio, DO, Inc

  • Family Medicine Physician
  • Hubbard, OH
National Provider Identifier
1205105897
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-001861-D Issued in OH
Legal business name
JAMES P. DAMBROGIO, DO, INC
Practice address
212 North Main Street
Hubbard, OH 44425-1656
Phone
(330) 534-9737
Fax
(330) 534-9739
NPI assigned
Dec 28, 2011
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
James P. Dambrogio, D.O.
Title
President
Phone
(330) 534-9737

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 05-010481L PA
Family Medicine Physician 207Q00000X 34-001861-D OH Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X AX2962567 OH

Addresses

Primary practice location

212 North Main Street
Hubbard, OH 44425-1656

Mailing address

212 North Main Street
Hubbard, OH 44425-1656
Phone (330) 534-9737

Other identifiers 1

IdentifierTypeStateIssuer
0116501MedicaidOH

National Provider Directory

National Provider Directory

Locations

212 N Main St
Hubbard, OH 44425
Phone (330) 534-9737

3144 Main St
West Middlesex, PA 16159
Phone (724) 528-0200

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1205105897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 NORTH MAIN STREET",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251656",
            "telephone_number": "330-534-9737",
            "fax_number": "330-534-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 NORTH MAIN STREET",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444251656",
            "telephone_number": "330-534-9737",
            "fax_number": "330-534-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES P. DAMBROGIO, DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "DAMBROGIO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-534-9737",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "05-010481L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-001861-D",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "AX2962567",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0116501",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.