Steel Valley Diversified, Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

STEEL VALLEY DIVERSIFIED, INC

Doing business as

Steel Valley Portable X-Ray

Practice address

5136 Tuscarawas St W
Canton, OH 44708-5016

Phone

(330) 479-1908

Fax

(330) 479-1933

NPI assigned

Jul 10, 2006

Organization subpart

No

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

Authorized official

Name

Terry L Rothermel

Title

President

Phone

(330) 575-7360

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Steel Valley Portable X-Ray Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Portable X-ray supplier certification: CCN 36X0009864

Legal name

STEELE VALLEY PORTABLE X-RAY

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Oct 18, 2000

Last certification

Jun 27, 2017

Ownership / control type

Corporation

Facility address

5136 West Tuscarawas Street
Canton, OH 44708

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Steel Valley Diversified, Inc

  • Physiological Laboratory
  • Canton, OH
  • NPI 1982916573

  1153315577

  Same PAC ID

Tax ID family

Steel Valley Diversified Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Steel Valley Diversified, Inc

  • Physiological Laboratory
  • Canton, OH
  • NPI 1982916573
  NPD tax ID

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1508890591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5136 TUSCARAWAS ST W",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085016",
            "telephone_number": "330-479-1908",
            "fax_number": "330-479-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5136 TUSCARAWAS ST W",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085016",
            "telephone_number": "330-479-1908",
            "fax_number": "330-479-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEEL VALLEY DIVERSIFIED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "ROTHERMEL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-575-7360"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2215490",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steel Valley Portable X-Ray",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Steel Valley Portable X-Ray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stat Doctors Medical Group, LTD.
• Katherine Stear, ACNPC-AG
• David Allen Stearns, CNP
• Aundrea J. Stedman, BA, TO
• Timothy James Steed
• Steel Valley Diversified, Inc
• Matthew R Steele, PTA
• Elizabeth Stefanik
• Delaine R Stehle, MA, PCC
• Craig J Steigerwald, LPCC

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Canton, OH
• Providers in Canton, OH by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.