Emergency Professionals of Northeast Ohio Inc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

EMERGENCY PROFESSIONALS OF NORTHEAST OHIO INC

Practice address

2021 Wales Ave NE
Massillon, OH 44646-4186

Phone

(330) 834-1111

NPI assigned

Feb 17, 2020

Last updated

Feb 28, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Istvan, MD

Title

Owner

Phone

(856) 686-4316

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582848000000",
    "number": "1235762485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 WALES AVE NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464186",
            "telephone_number": "330-834-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY PROFESSIONALS OF NORTHEAST OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A",
        "authorized_official_last_name": "ISTVAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-686-4316",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailyn Elliott
• Shelby P Elliott, LPN
• Greg R Emanuelson, PHD, LPCC-S
• Rebecca Llynn Embly, RN,BSN
• Emergency Medicine Physicians of Stark County, LTD
• Danielle Engelman
• Michaela Ann Ertle
• Laurie Esper, NP-C
• Casey L Evans, LPN
• Chelsy Evans

• Emergency Medicine Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.