Active NPI
Allen J Rovner, MD
- Diagnostic Radiology Physician
- Canton, OH
National Provider Identifier
1295719680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35 040766
- Practice address
- 2600 6TH St SW
Radiology Associates of Canton, Inc
Canton, OH 44710-1702 - Phone
- (330) 363-2842
- Fax
- (330) 580-5536
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 35 040766 | OH | |
| Nuclear Radiology Physician | 2085N0904X | 35 040766 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 35 040766 | OH | Primary |
Addresses
Primary practice location
2600 6TH St SW
Radiology Associates of Canton, Inc
Canton, OH 44710-1702
Mailing address
P.O. Box 72384
Radiology Associates of Canton, Inc.
Cleveland, OH 44192
Phone (888) 686-1837
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0340581 | Medicaid | OH | |
| P00423247 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 040766 | OH | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Canal Fulton, OH
- NPI 1114902137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294185600000",
"number": "1295719680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 72384",
"address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC.",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44192",
"telephone_number": "888-686-1837",
"fax_number": "330-686-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"address_2": "RADIOLOGY ASSOCIATES OF CANTON, INC",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-363-2842",
"fax_number": "330-580-5536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROVNER",
"first_name": "ALLEN",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2011-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "OH",
"license": "35 040766",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "OH",
"license": "35 040766",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35 040766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0340581",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00423247",
"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 Jan 5, 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.