Active NPI
Consortium Concepts, LLC
- Family Medicine Physician
- Copley, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CONSORTIUM CONCEPTS, LLC
- Practice address
- 554 Heritage Woods Dr
Copley, OH 44321-2746 - Phone
- (330) 328-4570
- Fax
- (888) 354-1076
- NPI assigned
- Jan 4, 2011
- Last updated
- May 8, 2017
- 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. Daniel J Cannone, D.O.
- Title
- Owner
- Phone
- (330) 328-4570
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
554 Heritage Woods Dr
Copley, OH 44321-2746
Mailing address
554 Heritage Woods Dr
Copley, OH 44321-2746
Phone (330) 328-4570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3128289 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
330 E Bath Rd
Cuyahoga Falls, OH 44223
Phone (330) 929-6272
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Medicine (Family Medicine) Physician
- Wadsworth, OH
- NPI 1750483962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494201600000",
"number": "1336443415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "554 HERITAGE WOODS DR",
"city": "COPLEY",
"state": "OH",
"postal_code": "443212746",
"telephone_number": "330-328-4570",
"fax_number": "888-354-1076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "554 HERITAGE WOODS DR",
"city": "COPLEY",
"state": "OH",
"postal_code": "443212746",
"telephone_number": "330-328-4570",
"fax_number": "888-354-1076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONSORTIUM CONCEPTS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-04",
"last_updated": "2017-05-08",
"status": "A",
"authorized_official_last_name": "CANNONE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "330-328-4570",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3128289",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Copley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.