Ohio Hospital-Based Physician Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

OHIO HOSPITAL-BASED PHYSICIAN CORPORATION

Practice address

2051 Wales Rd NE
Massillon, OH 44646-4111

Phone

(330) 834-1111

NPI assigned

Jul 8, 2006

Last updated

May 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faith Bastic

Title

VP

Phone

(330) 452-9911

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ohio Hospital-Based Physician Corporation

  • Specialist
  • North Canton, OH
  • NPI 1205864337

  O20040316000515

  Same enrollment
• Ohio Hospital-Based Physician Corporation

  • Specialist
  • Canton, OH
  • NPI 1700818986

  O20040316000515

  Same enrollment
• Ohio Hospital-Based Physicians Corporation

  • Specialist
  • Canton, OH
  • NPI 1891727079

  O20040316000515

  Same enrollment

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1457384174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SIXTH STREET SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44710",
            "telephone_number": "330-452-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 WALES RD NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446464111",
            "telephone_number": "330-834-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO HOSPITAL-BASED PHYSICIAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "BASTIC",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "330-452-9911"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2116589",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elyse Rae O'Neill, DPT
• Oak Health Care Investors of Massillon, Inc. (The Laurels of Massillon)
• Nathaniel Ogg
• Ohio CVS Stores LLC (CVS Pharmacy #17136)
• Ohio CVS Stores LLC (CVS Pharmacy #08248)
• Ohio Podiatric Physicians and Surgeons Group
• Ohio Therapy Solutions LLC
• Ohio Treatment Center, LLC (Canton Comprehensive Treatment Center)
• Ohio Valley Physicians Inc (OVP Health)
• Ohio Valley Physicians Inc

• Specialist in Massillon, OH
• Providers in Massillon, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.