NPIMap

Individual provider Active NPI

Edward J. Parisi, M.D.

  • Family Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1487664215
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35063756 Issued in OH
Practice address
50 N Miller Rd
Fairlawn, OH 44333-3702
Phone
(330) 836-9721
Fax
(330) 836-9627
NPI assigned
Aug 8, 2006
Last updated
Mar 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35063756 OH Primary

Addresses

Primary practice location

50 N Miller Rd
Fairlawn, OH 44333-3702

Mailing address

50 N Miller Rd
Fairlawn, OH 44333-3702
Phone (330) 836-9721

Other identifiers 2

IdentifierTypeStateIssuer
0893243MedicaidOH
000000140416OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051027000568 OH Practitioner - Family Practice 5799702916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

2651 W Market St
Suite 2
Fairlawn, OH 44333-4200
Phone (330) 864-4488

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35063756OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Physicians Network Inc Family Medicine CurrentSince Jan 26, 2022 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Pioneer Physicians Network, Inc. Family Medicine CurrentSince Jan 26, 2022 Accepting new patients

Locations

150 Springside Dr
Ste 320C
Fairlawn, OH 44333
Phone (330) 376-1071

2651 W Market St
Ste 2
Fairlawn, OH 44333
Phone (330) 864-4488

50 N Miller Rd
Fairlawn, OH 44333
Phone (330) 836-9721

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

Interoperability endpoints

  • Direct secure messaging: edward.parisi@ppn.eclinicaldirectplus.com
  • Direct secure messaging: eparisi417017@direct.ccf.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1487664215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-836-9721",
            "fax_number": "330-836-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333702",
            "telephone_number": "330-836-9721",
            "fax_number": "330-836-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISI",
        "first_name": "EDWARD",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35063756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0893243",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000140416",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.