Organization Active NPI

Tusc County Medical Specialist LLC

  • Internal Medicine Physician
  • Dover, OH
National Provider Identifier
1457908683
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TUSC COUNTY MEDICAL SPECIALIST LLC
Practice address
300 Medical Park Dr
Suite 205
Dover, OH 44622-2073
Phone
(330) 364-4600
Fax
(330) 364-3338
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Authorized official

Name
Charles V Barrett, MD
Title
President/MD
Phone
(330) 364-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

300 Medical Park Dr
Suite 205
Dover, OH 44622-2073

Mailing address

PO Box 3475
Pittsburgh, PA 15230-3475
Phone (330) 364-4600

Other names 1

  • Tusc County Medical Specialist Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1457908683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3475",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152303475",
            "telephone_number": "330-364-4600",
            "fax_number": "330-364-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DR",
            "address_2": "SUITE 205",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222073",
            "telephone_number": "330-364-4600",
            "fax_number": "330-364-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSC COUNTY MEDICAL SPECIALIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT/MD",
        "authorized_official_telephone_number": "330-364-4600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tusc County Medical Specialist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.