Organization Active NPI

Edward N. Barr

  • Primary Care Clinic/Center
  • Minerva, OH
National Provider Identifier
1487713632
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EDWARD N. BARR
Practice address
1028 E Lincolnway
Minerva, OH 44657-1216
Phone
(330) 868-6044
Fax
(330) 868-6847
NPI assigned
Dec 6, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Susan B Barr
Title
Office Manager
Phone
(330) 868-6044

National Provider Directory

National Provider Directory

Locations

1028 E Lincolnway
Minerva, OH 44657
Phone (330) 868-6044

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

NPPES NPI Registry

Primary practice location

1028 E Lincolnway
Minerva, OH 44657-1216

Mailing address

1028 E Lincolnway
Minerva, OH 44657-1216
Phone (330) 868-6044

Other names 1

NPPES NPI Registry
  • Great Trail Family Practice Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2007.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1487713632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 E LINCOLNWAY",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446571216",
            "telephone_number": "330-868-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E LINCOLNWAY",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446571216",
            "telephone_number": "330-868-6044",
            "fax_number": "330-868-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD N. BARR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "BARR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-868-6044"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Great Trail Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minerva, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.