NPIMap

Organization Active NPI

Esr Medication Assisted Treatment

  • Pain Medicine Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1255609822
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
ESR MEDICATION ASSISTED TREATMENT
Practice address
405 Tallmadge Rd
Cuyahoga Falls, OH 44221-3362
Phone
(330) 773-3544
Fax
(330) 773-3698
NPI assigned
Dec 9, 2011
Last updated
Dec 9, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Authorized official

Name
Mr. Raun D Skyrm
Title
Credentialing
Phone
(330) 773-3544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X Primary

Addresses

Primary practice location

405 Tallmadge Rd
Cuyahoga Falls, OH 44221-3362

Mailing address

405 Tallmadge Rd
Cuyahoga Falls, OH 44221-3362
Phone (330) 773-3544

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1255609822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213362",
            "telephone_number": "330-773-3544",
            "fax_number": "330-773-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 TALLMADGE RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213362",
            "telephone_number": "330-773-3544",
            "fax_number": "330-773-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESR MEDICATION ASSISTED TREATMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "SKYRM",
        "authorized_official_first_name": "RAUN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "330-773-3544",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.