Active NPI
Philip Alan Bushey, M.A. SLP
- Speech-Language Pathologist
- East Canton, OH
National Provider Identifier
1477707131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-0113
- Practice address
- 234 Wood St. North
East Canton, OH 44730 - Phone
- (330) 488-0667
- NPI assigned
- Nov 7, 2008
- Last updated
- Nov 7, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-0113 | OH | Primary |
Addresses
Primary practice location
234 Wood St. North
East Canton, OH 44730
Mailing address
234 Wood St. North
East Canton, OH 44730
Phone (330) 488-0667
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-0113 | OH | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226016000000",
"number": "1477707131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 WOOD ST. NORTH",
"city": "EAST CANTON",
"state": "OH",
"postal_code": "44730",
"telephone_number": "330-488-0667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 WOOD ST. NORTH",
"city": "EAST CANTON",
"state": "OH",
"postal_code": "44730",
"telephone_number": "330-488-0667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHEY",
"first_name": "PHILIP",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "M.A. SLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-07",
"last_updated": "2008-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP-0113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.