Organization Active NPI

Kondolios & Associates ,Inc.

  • Health Maintenance Organization
  • Warren, OH
National Provider Identifier
1316140684
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
35073301-K Issued in OH
Legal business name
KONDOLIOS & ASSOCIATES ,INC.
Practice address
2625 E Market St
Warren, OH 44483-6203
Phone
(330) 372-1096
Fax
(330) 372-3261
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Peggy Kondolios
Title
Secretary
Phone
(330) 372-1096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 35073301-K OH Primary

Addresses

Primary practice location

2625 E Market St
Warren, OH 44483-6203

Mailing address

2625 E Market St
Warren, OH 44483-6203
Phone (330) 372-1096

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1316140684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836203",
            "telephone_number": "330-372-1096",
            "fax_number": "330-372-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836203",
            "telephone_number": "330-372-1096",
            "fax_number": "330-372-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONDOLIOS & ASSOCIATES ,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "KONDOLIOS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "330-372-1096"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OH",
            "license": "35073301-K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; 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.