Active NPI
Paragon Health Associates LLC
- Medical Specialty Clinic/Center
- Akron, OH
National Provider Identifier
1356509061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- PARAGON HEALTH ASSOCIATES LLC
- Practice address
- 468 E Market St
Akron, OH 44304-1594 - Phone
- (330) 869-9777
- Fax
- (330) 869-0052
- NPI assigned
- May 29, 2008
- Last updated
- Jun 5, 2013
- 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
- Mrs. Melanie L Mick
- Title
- Medical Credentialing Consultant
- Phone
- (234) 855-6458
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | NU | Primary |
Addresses
Primary practice location
468 E Market St
Akron, OH 44304-1594
Mailing address
1 Park West Blvd
Suite 200
Akron, OH 44320-4218
Phone (330) 869-9777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2856208 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370390400000",
"number": "1356509061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARK WEST BLVD",
"address_2": "SUITE 200",
"city": "AKRON",
"state": "OH",
"postal_code": "443204218",
"telephone_number": "330-869-9777",
"fax_number": "330-869-0052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 E MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041594",
"telephone_number": "330-869-9777",
"fax_number": "330-869-0052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAGON HEALTH ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-29",
"last_updated": "2013-06-05",
"status": "A",
"authorized_official_last_name": "MICK",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "MEDICAL CREDENTIALING CONSULTANT",
"authorized_official_telephone_number": "234-855-6458",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2856208",
"state": "OH"
}
],
"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 Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.