Organization Active NPI

1227 East Market Street, Inc.

  • Legal Medicine (M.D./D.O.) Physician
  • Warren, OH
National Provider Identifier
1376819482
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X
Legal business name
1227 EAST MARKET STREET, INC.
Practice address
1227 E Market St
Warren, OH 44483-6605
Phone
(330) 393-1501
Fax
(330) 394-4539
NPI assigned
Mar 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Authorized official

Name
Kathleen Dillon
Title
Office Manager
Phone
(330) 393-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine (M.D./D.O.) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 209800000X Primary

Addresses

Primary practice location

1227 E Market St
Warren, OH 44483-6605

Mailing address

1227 E Market St
Warren, OH 44483-6605
Phone (330) 393-1501

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1376819482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836605",
            "telephone_number": "330-393-1501",
            "fax_number": "330-394-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836605",
            "telephone_number": "330-393-1501",
            "fax_number": "330-394-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1227 EAST MARKET STREET, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-393-1501"
    },
    "taxonomies": [
        {
            "code": "209800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.