Organization Active NPI

Milind B. Sanwardeker MD Inc.

  • Internal Medicine Physician
  • Canton, OH
National Provider Identifier
1376722173
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-10-0066-S Issued in OH
Legal business name
MILIND B. SANWARDEKER MD INC.
Practice address
4850 Higbee Ave NW
Canton, OH 44718-2528
Phone
(330) 492-5344
Fax
(330) 492-7369
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Authorized official

Name
Dr. Milind B. Sanwardeker, M.D.
Title
President
Phone
(330) 492-5344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35-10-0066-S OH Primary

Addresses

Primary practice location

4850 Higbee Ave NW
Canton, OH 44718-2528

Mailing address

4850 Higbee Ave NW
Canton, OH 44718-2528
Phone (330) 492-5344

Other identifiers 3

IdentifierTypeStateIssuer
CL9883OtherOHRAILROAD MEDICARE
0335051MedicaidOH
000000130710OtherOHANTHEM

National Provider Directory

National Provider Directory

Locations

4850 Higbee Ave NW
Canton, OH 44718
Phone (216) 492-5344

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1376722173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182528",
            "telephone_number": "330-492-5344",
            "fax_number": "330-492-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182528",
            "telephone_number": "330-492-5344",
            "fax_number": "330-492-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILIND B. SANWARDEKER MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "SANWARDEKER",
        "authorized_official_first_name": "MILIND",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-492-5344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-10-0066-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL9883",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0335051",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000130710",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.