Active NPI
Vladimir Djuric, MD
- Physical Medicine & Rehabilitation Physician
- North Canton, OH
National Provider Identifier
1467463570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 35062774
- Practice address
- 6651 Frank Ave NW
North Canton, OH 44720-7259 - Phone
- (330) 498-9865
- NPI assigned
- Aug 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 35062774 | OH | Primary |
Addresses
Primary practice location
6651 Frank Ave NW
North Canton, OH 44720-7259
Mailing address
PO Box 26125
Akron, OH 44319-6125
Phone (330) 493-0840
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341750133B | Other | OH | SUMMACARE |
| 000000141769 | Other | OH | ANTHEM |
| 2033883 | Medicaid | OH | |
| 250011099 | Other | OH | RAILROAD MEDICARE |
| 341898905029 | Other | OH | CARESOURCE |
| 341898905C | Other | OH | AULTCARE |
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 |
|---|---|---|---|
| 35062774 | OH | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197331200000",
"number": "1467463570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26125",
"city": "AKRON",
"state": "OH",
"postal_code": "443196125",
"telephone_number": "330-493-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6651 FRANK AVE NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447207259",
"telephone_number": "330-498-9865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DJURIC",
"first_name": "VLADIMIR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-11",
"last_updated": "2007-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "35062774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "341750133B",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000141769",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2033883",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "250011099",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341898905029",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AULTCARE",
"identifier": "341898905C",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.