Organization Active NPI

Ohio Living Palliative Care Greater Akron

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fairlawn, OH
National Provider Identifier
1437796117
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
OHIO LIVING PALLIATIVE CARE GREATER AKRON
Practice address
83 N Miller Rd Ste 101
Fairlawn, OH 44333-3729
Phone
(330) 873-3468
Fax
(330) 873-3465
NPI assigned
Dec 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Authorized official

Name
Robert B. Stillman
Title
Chief Financial Officer
Phone
(614) 888-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

83 N Miller Rd Ste 101
Fairlawn, OH 44333-3729

Mailing address

1001 Kingsmill Pkwy
Columbus, OH 43229-1129
Phone (614) 888-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1437796117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 KINGSMILL PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432291129",
            "telephone_number": "614-888-7800",
            "fax_number": "614-888-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 N MILLER RD STE 101",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333729",
            "telephone_number": "330-873-3468",
            "fax_number": "330-873-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO LIVING PALLIATIVE CARE GREATER AKRON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "STILLMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "614-888-7800"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.