Active NPI
Edward N. Barr
- Primary Care Clinic/Center
- Minerva, OH
National Provider Identifier
1487713632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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 DirectoryLocations
1028 E Lincolnway
Minerva, OH 44657
Phone (330) 868-6044
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.