Organization Active NPI

Med Works Urgent Care, Inc.

Doing business as Med Works Urgent Care

  • Family Medicine Physician
  • Akron, OH
National Provider Identifier
1447363718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MED WORKS URGENT CARE, INC.
Doing business as
Med Works Urgent Care
Practice address
3333 Massillon Rd Ste 102
Akron, OH 44312-5982
Phone
(330) 896-3036
Fax
(330) 896-0464
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ivan Santoso, D.O.
Title
Medical Director/President
Phone
(330) 896-3036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OH Primary

Addresses

Primary practice location

3333 Massillon Rd Ste 102
Akron, OH 44312-5982

Mailing address

3333 Massillon Rd Ste 102
Akron, OH 44312-5982
Phone (330) 896-3036

Other names 1

  • Med Works Urgent Care Doing business as

National Provider Directory

National Provider Directory

Locations

3333 Massillon Rd
Ste 102
Green, OH 44312
Phone (330) 896-3036

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447363718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 MASSILLON RD STE 102",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125982",
            "telephone_number": "330-896-3036",
            "fax_number": "330-896-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 MASSILLON RD STE 102",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125982",
            "telephone_number": "330-896-3036",
            "fax_number": "330-896-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED WORKS URGENT CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOSO",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/PRESIDENT",
        "authorized_official_telephone_number": "330-896-3036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Med Works Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.