Organization Active NPI

Firestone Health Care Inc

  • Family Medicine Physician
  • Salem, OH
National Provider Identifier
1285712307
Registry record updated Apr 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FIRESTONE HEALTH CARE INC
Practice address
2364 Southeast Blvd
Salem, OH 44460
Phone
(330) 332-4833
Fax
(330) 332-8220
NPI assigned
Nov 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2012

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

Authorized official

Name
Thomas D Vrable, DO
Title
Secretary
Phone
(330) 426-9484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2364 Southeast Blvd
Salem, OH 44460

Mailing address

PO Box 429
132 North Market Street
East Palestine, OH 44413
Phone (330) 426-9484

Other identifiers 1

IdentifierTypeStateIssuer
2219307MedicaidOH

National Provider Directory

National Provider Directory

Locations

132 N Market St
East Palestine, OH 44413
Phone (330) 337-3332

2364 Southeast Blvd
Salem, OH 44460
Phone (330) 332-4833

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335139200000",
    "number": "1285712307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "address_2": "132 NORTH MARKET STREET",
            "city": "EAST PALESTINE",
            "state": "OH",
            "postal_code": "44413",
            "telephone_number": "330-426-9484",
            "fax_number": "330-426-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 SOUTHEAST BLVD",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "44460",
            "telephone_number": "330-332-4833",
            "fax_number": "330-332-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRESTONE HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2012-04-23",
        "status": "A",
        "authorized_official_last_name": "VRABLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "330-426-9484",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2219307",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.