Massillon Family Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35071045 Issued in OH

Legal business name

MASSILLON FAMILY CARE INC

Practice address

2606 Wales Ave NW
Suite 200
Massillon, OH 44646-2340

Phone

(330) 834-4735

Fax

(330) 834-4736

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Son N Dang, MD

Title

President

Phone

(330) 834-4735

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1538112685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 WALES AVE NW",
            "address_2": "SUITE 200",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462340",
            "telephone_number": "330-834-4735",
            "fax_number": "330-834-4736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 WALES AVE NW",
            "address_2": "SUITE 200",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462340",
            "telephone_number": "330-834-4735",
            "fax_number": "330-834-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSILLON FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "SON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-834-4735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35071045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2565522",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Massillon, OH
• Providers in Massillon, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.