Individual provider Active NPI

Benjamin Joel Swisher, M.D.

  • Family Medicine Physician
  • Canton, OH
National Provider Identifier
1518923788
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-08-2858-S Issued in OH
Practice address
4465 Fulton Dr NW Ste 100
Canton, OH 44718-2851
Phone
(330) 497-2700
Fax
(330) 497-2737
NPI assigned
Apr 25, 2006
Last updated
Jan 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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 35-08-2858-S OH Primary

Addresses

Primary practice location

4465 Fulton Dr NW Ste 100
Canton, OH 44718-2851

Mailing address

4465 Fulton Dr NW Ste 100
Canton, OH 44718-2851
Phone (330) 497-2700

Other identifiers 1

IdentifierTypeStateIssuer
2454580MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031218000305 OH Practitioner - Family Practice 7810894490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oh Independent Medical Group LLCGroup PAC ID 0648646034, 136 clinicians

Practice addresses (Care Compare)

4465 Fulton Dr NW
Suite 100
Canton, OH 44718-2851
Phone (330) 497-2700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Mar 27, 2025 Accepting new patients
Stark Family Health Center Current Accepting new patients
Oh Independent Medical Group LLC Family Medicine CurrentSince Mar 27, 2025 Accepting new patients
Stark Family Health Center Family Medicine CurrentSince Dec 1, 2004 Accepting new patients
Family Medical Care Center Family Medicine PastSince Dec 1, 2012 Accepting new patients

Locations

4465 Fulton Dr NW
Ste 100
Canton, OH 44718
Phone (330) 497-2700

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Interoperability endpoints

  • Direct secure messaging: benjamin.swisher.1@26020.direct.athenahealth.com

Organizations & group practices 5

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 5

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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1518923788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4465 FULTON DR NW STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182851",
            "telephone_number": "330-497-2700",
            "fax_number": "330-497-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 FULTON DR NW STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182851",
            "telephone_number": "330-497-2700",
            "fax_number": "330-497-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWISHER",
        "first_name": "BENJAMIN",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-08-2858-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2454580",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.