Organization Active NPI

Care 4 All Med Center Inc

  • Family Medicine Physician
  • Boardman, OH
National Provider Identifier
1346573151
Registry record updated Jan 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.090928 Issued in OH
Legal business name
CARE 4 ALL MED CENTER INC
Practice address
493 Bev Rd
Boardman, OH 44512-6451
Phone
(330) 785-5090
NPI assigned
Sep 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2010

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

Authorized official

Name
Daniel J Brock
Title
Ceo
Phone
(330) 785-5090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35.090928 OH Primary

Addresses

Primary practice location

493 Bev Rd
Boardman, OH 44512-6451

Mailing address

493 Bev Rd
Boardman, OH 44512-6451

National Provider Directory

National Provider Directory

Locations

493 Bev Rd
Boardman, OH 44512
Phone (330) 785-5090

8001 Castor Ave
#181
Philadelphia, PA 19152

NPI Registry JSON

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263168000000",
    "number": "1346573151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 BEV RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 BEV RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126451",
            "telephone_number": "330-785-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE 4 ALL MED CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2010-01-11",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-785-5090"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.090928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.