Organization Active NPI

Advanced Hair Restoration of Ohio LLC

  • Surgery Physician
  • Canfield, OH
National Provider Identifier
1407167083
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35055333 Issued in OH
Legal business name
ADVANCED HAIR RESTORATION OF OHIO LLC
Practice address
3869 Starrs Centre Dr
Canfield, OH 44406-8003
Phone
(330) 533-1570
Fax
(330) 702-9934
NPI assigned
Jun 29, 2010
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Authorized official

Name
Dr. Nicholas F Agnesi, MDNPI 1306089834
Title
President
Phone
(330) 533-1570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35055333 OH Primary

Addresses

Primary practice location

3869 Starrs Centre Dr
Canfield, OH 44406-8003

Mailing address

3869 Starrs Centre Dr
Canfield, OH 44406-8003
Phone (330) 533-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000265 OH Part B Supplier - Clinic/Group Practice 2668505686 Receives reassigned benefits from 1 practitioner
Practice locations: Boardman, OH

National Provider Directory

National Provider Directory

Locations

3869 Starrs Centre Dr
Canfield, OH 44406
Phone (330) 533-1570

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1407167083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3869 STARRS CENTRE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068003",
            "telephone_number": "330-533-1570",
            "fax_number": "330-702-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3869 STARRS CENTRE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068003",
            "telephone_number": "330-533-1570",
            "fax_number": "330-702-9934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HAIR RESTORATION OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "AGNESI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-533-1570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35055333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.