Professional Picc Services

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

Legal business name

PROFESSIONAL PICC SERVICES

Practice address

115 Woodview Dr
Cortland, OH 44410-1247

Phone

(330) 637-9112

NPI assigned

Sep 17, 2006

Last updated

Aug 22, 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

Mr. Albert Andrew Smulik

Title

Ceo

Phone

(330) 637-1940

Specialties & licenses 1

Addresses

Tax ID family

Professional Dialysis Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Professional Picc Services LLC

  dba Professional Dialysis Services

  • Skilled Nursing Facility
  • Cortland, OH
  • NPI 1194195370
  NPD tax ID

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306943956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WOODVIEW DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101247",
            "telephone_number": "330-637-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WOODVIEW DR",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444101247",
            "telephone_number": "330-637-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PICC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMULIK",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-637-1940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James E Port, M.D.
• Rachel Elizabeth Poullas, APRN-CNP
• Tricia Pratt, RDH
• Premier Care Pediatrics, Inc.
• Stephen Prindle, PHARMD, RPH
• Professional Picc Services LLC (Professional Dialysis Services)
• Psycare, Inc.
• Morris Wade Pulliam, M.D.
• Ruth F Quarles, M.D.
• Rem Ohio Inc

• Infusion Therapy Registered Nurse in Cortland, OH
• Providers in Cortland, OH by specialty
• Infusion Therapy Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.