Active NPI
Astute Medical Associates Inc
- Internal Medicine Physician
- Canton, OH
National Provider Identifier
1215984604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ASTUTE MEDICAL ASSOCIATES INC
- Practice address
- 2425 13TH St NW
Canton, OH 44708-3116 - Phone
- (330) 455-5595
- Fax
- (330) 455-5598
- NPI assigned
- May 30, 2006
- 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
- Mike Crocker
- Title
- Secretary-Treasurer
- Phone
- (330) 455-5595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2425 13TH St NW
Canton, OH 44708-3116
Mailing address
2425 13TH St NW
Canton, OH 44708-3116
Phone (330) 455-5595
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0949326 | Medicaid | OH | |
| 1120817 | Other | OH | OHIO BWC NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0882033 | Astute Medical Associates Inc | Certificate of waiver | Jan 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
2425 13th St NW
Canton, OH 44708
Phone (330) 455-5595
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Canton, OH
- NPI 1942207634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215984604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2425 13TH ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447083116",
"telephone_number": "330-455-5595",
"fax_number": "330-455-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 13TH ST NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447083116",
"telephone_number": "330-455-5595",
"fax_number": "330-455-5598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASTUTE MEDICAL ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CROCKER",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "SECRETARY-TREASURER",
"authorized_official_telephone_number": "330-455-5595"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0949326",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO BWC NUMBER",
"identifier": "1120817",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.