Active NPI
University Primary Care Practices Inc
- Urgent Care Clinic/Center
- Tallmadge, OH
National Provider Identifier
1336340504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- UNIVERSITY PRIMARY CARE PRACTICES INC
- Practice address
- 145 West Ave Ste 2
Tallmadge, OH 44278 - Phone
- (330) 633-8341
- Fax
- (330) 633-8462
- NPI assigned
- May 29, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald Decarlo, MD
- Title
- Cmo, East Market
- Phone
- (440) 285-2950
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | OH | Primary |
Addresses
Primary practice location
145 West Ave Ste 2
Tallmadge, OH 44278
Mailing address
PO Box 772928
Detroit, MI 48277-2928
Other names 1
- UH Akron Urgent Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031125000767 | OH | Part B Supplier - Clinic/Group Practice | 3072417534 |
Receives reassigned benefits from 1,508 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
145 West Ave
Ste 2
Tallmadge, OH 44278
Phone (330) 633-8341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718236800000",
"number": "1336340504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772928",
"city": "DETROIT",
"state": "MI",
"postal_code": "482772928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 WEST AVE STE 2",
"city": "TALLMADGE",
"state": "OH",
"postal_code": "44278",
"telephone_number": "330-633-8341",
"fax_number": "330-633-8462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-29",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A",
"authorized_official_last_name": "DECARLO",
"authorized_official_first_name": "DONALD",
"authorized_official_title_or_position": "CMO, EAST MARKET",
"authorized_official_telephone_number": "440-285-2950",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UH Akron Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tallmadge, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.