Active NPI
Andrew Lawrence Congdon, RPA
- Radiology Practitioner Assistant
- Canton, OH
National Provider Identifier
1396173225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Practitioner Assistant
- License
- 68.0009
- Practice address
- 2600 6TH St SW
Canton, OH 44710-1702 - Phone
- (330) 363-6809
- Fax
- (330) 363-1282
- NPI assigned
- Nov 1, 2013
- 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 |
|---|---|---|---|---|
| Radiology Practitioner Assistant | 243U00000X | 68.0009 | OH | Primary |
Addresses
Primary practice location
2600 6TH St SW
Canton, OH 44710-1702
Mailing address
2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 363-6809
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68.0009 | OH | MD | Radiology Practitioner Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383264000000",
"number": "1396173225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-363-6809",
"fax_number": "330-363-1282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 6TH ST SW",
"city": "CANTON",
"state": "OH",
"postal_code": "447101702",
"telephone_number": "330-363-6809",
"fax_number": "330-363-1282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONGDON",
"first_name": "ANDREW",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"credential": "RPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-01",
"last_updated": "2013-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "243U00000X",
"taxonomy_group": "",
"desc": "Radiology Practitioner Assistant",
"state": "OH",
"license": "68.0009",
"primary": true
}
],
"identifiers": [],
"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 Nov 1, 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.