Organization Active NPI

1419 Arlington Medical LLC

  • Physician Assistant
  • Akron, OH
National Provider Identifier
1316535974
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Legal business name
1419 ARLINGTON MEDICAL LLC
Practice address
1419 S Arlington St
Akron, OH 44306
Phone
(330) 773-3882
NPI assigned
Jan 8, 2021
Last updated
Jan 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Rebecca Murray
Title
Representattive
Phone
(615) 613-3871

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

1419 S Arlington St
Akron, OH 44306

Mailing address

1712 Pioneer Ave
Ste 500
Cheyenne, WY 82001

National Provider Directory

National Provider Directory

Locations

1712 Pioneer Ave
Ste 500
Cheyenne, WY 82001
Phone (516) 268-6319

NPI Registry JSON

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

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1316535974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 PIONEER AVE",
            "address_2": "STE 500",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 S ARLINGTON ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44306",
            "telephone_number": "330-773-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1419 ARLINGTON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "REPRESENTATTIVE",
        "authorized_official_telephone_number": "615-613-3871"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.