North East Ohio Medical Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH EAST OHIO MEDICAL CARE

Practice address

8528 E Market St
Warren, OH 44484-2343

Phone

(330) 399-2500

Fax

(330) 399-2513

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Leslie R Kraker

Title

Office Manager

Phone

(330) 399-2500

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1295847960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8528 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842343",
            "telephone_number": "330-399-2500",
            "fax_number": "330-399-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8528 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842343",
            "telephone_number": "330-399-2500",
            "fax_number": "330-399-2513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH EAST OHIO MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "KRAKER",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-399-2500",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": "1295847960",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.