Active NPI
Affinity Medical Center
- Student Health Clinic/Center
- Massillon, OH
National Provider Identifier
1487919734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- Legal business name
- AFFINITY MEDICAL CENTER
- Practice address
- 875 8TH St NE
Massillon, OH 44646-8503 - Phone
- (330) 834-4784
- NPI assigned
- Jul 11, 2012
- Last updated
- Jul 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Phuc Nguyen, D.O
- Title
- Emergency Medicine Resident Physici
- Phone
- (703) 819-6464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | NU | Primary |
Addresses
Primary practice location
875 8TH St NE
Massillon, OH 44646-8503
Mailing address
345 Sheraton Dr NW
North Canton, OH 44720-2268
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir-myrecord.cerner.com/r4/9d4860d0-61a4-4109-9b8d-cf607b282375/
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1341964800000",
"number": "1487919734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 SHERATON DR NW",
"city": "NORTH CANTON",
"state": "OH",
"postal_code": "447202268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 8TH ST NE",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446468503",
"telephone_number": "330-834-4784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFINITY MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-11",
"last_updated": "2012-07-11",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "PHUC",
"authorized_official_title_or_position": "EMERGENCY MEDICINE RESIDENT PHYSICI",
"authorized_official_telephone_number": "703-819-6464",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O"
},
"taxonomies": [
{
"code": "261QS1000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Student Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.