Active NPI
Maria Sarma Vassilaros, M.D.
- Addiction Medicine (Internal Medicine) Physician
- Canfield, OH
National Provider Identifier
1427019959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Internal Medicine) Physician
- License
- 35.056622
- Practice address
- 3726 Tippecanoe PL
Canfield, OH 44406-9068 - Phone
- (330) 533-6402
- Fax
- (330) 533-3183
- NPI assigned
- Apr 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | 35.056622 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 35056622 | OH |
Addresses
Primary practice location
3726 Tippecanoe PL
Canfield, OH 44406-9068
Mailing address
3726 Tippecanoe PL
Canfield, OH 44406-9068
Phone (330) 533-6402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427019959 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35056622 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1427019959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3726 TIPPECANOE PL",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069068",
"telephone_number": "330-533-6402",
"fax_number": "330-533-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3726 TIPPECANOE PL",
"city": "CANFIELD",
"state": "OH",
"postal_code": "444069068",
"telephone_number": "330-533-6402",
"fax_number": "330-533-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASSILAROS",
"first_name": "MARIA",
"middle_name": "SARMA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-02",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "OH",
"license": "35.056622",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35056622",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427019959",
"state": "OH"
}
],
"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 Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.