Active NPI
Carlos E. Fabre, M.D.
- Cardiovascular Disease Physician
- Canton, OH
National Provider Identifier
1346229309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 35-10-0031
- Practice address
- 2600 6TH St SW
Suite A2-710
Canton, OH 44710-1702 - Phone
- (330) 454-8076
- Fax
- (330) 454-3927
- NPI assigned
- Jan 10, 2006
- Last updated
- Apr 2, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 35-10-0031 | OH | Primary |
Addresses
Primary practice location
2600 6TH St SW
Suite A2-710
Canton, OH 44710-1702
Mailing address
2600 6TH St SW
Suite A2-710
Canton, OH 44710-1702
Phone (330) 454-8076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0326105 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3510 | OH | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RC Hastedt MD Inc | Current | Accepting new patients | |
| Community Pathologists Inc | Current | Accepting new patients | |
| Union Physician Services, LLC | Past | Accepting new patients | |
| Cardiovascular Consultants, Inc. | Past | Accepting new patients | |
| Cardiovascular Consultants, Inc. | Cardiovascular Disease | Past | Accepting new patients |
Locations
659 Boulevard St
Dover, OH 44622
Phone (330) 343-3311
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Dover, OH
- NPI 1467779397
-
- Anatomic Pathology Physician
- Dover, OH
- NPI 1235324104
-
- Specialist
- Canton, OH
- NPI 1396791265
-
- Cardiovascular Disease Physician
- Millersburg, OH
- NPI 1932366127
-
- Family Medicine Physician
- Dover, OH
- NPI 1215169826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207094400000",
"number": "1346229309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"address_2": "SUITE A2-710",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-454-8076",
"fax_number": "330-454-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"address_2": "SUITE A2-710",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-454-8076",
"fax_number": "330-454-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FABRE",
"first_name": "CARLOS",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2008-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35-10-0031",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0326105",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
- Expanding Hearts LLC
- Eye Centers of Ohio, Inc
- Eye Surgical Center, LLC (The Institute for Refractive and Intraocular Surgery)
- Eyes on Stark Surgery Center, LLC (Vista Surgical Center)
- Erik Eyring, CRNA
- Katherine Facaros, D.P.M
- Thameenah Z Faheem
- Daniel C Fahl
- Nabil Fahmy, M.D.
- Lena Johanna Fajardo, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.