Individual provider Active NPI

Nicole Theresa Labor, D.O.

  • Addiction Medicine (Family Medicine) Physician
  • Akron, OH
National Provider Identifier
1598908485
Registry record updated Nov 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
34010211 Issued in OH
Practice address
444 N Main St
6TH Floor
Akron, OH 44310-3110
Phone
(330) 379-8190
Fax
(330) 379-8191
NPI assigned
Apr 8, 2009
Last updated
Nov 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 60 252295 NY
Addiction Medicine (Family Medicine) Physician 207QA0401X OS014921 PA
Addiction Medicine (Family Medicine) Physician 207QA0401X 34010211 OH Primary

Addresses

Primary practice location

444 N Main St
6TH Floor
Akron, OH 44310-3110

Mailing address

444 N Main St
6TH Floor
Akron, OH 44310-3110
Phone (330) 379-8190

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
I20111111000585 OH Practitioner - Addiction Medicine 1456525237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Addiction Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

434 Eastland Rd
Berea, OH 44017-1217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60 252295NYMDFamily Medicine Physician
34010211OHMDAddiction Medicine (Family Medicine) Physician
OS014921PAMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneeighty, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Ohioguidestone Family Medicine CurrentSince Apr 13, 2025 Accepting new patients
Ohioguidestone CurrentSince Apr 13, 2025 Accepting new patients
Esper Treatment Center Inc CurrentSince Jul 1, 2012 Accepting new patients
Oneeighty, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Summa Physicians LLC Addiction Medicine Past Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

246 Northland Dr
Ste 140
Medina, OH 44256
Phone (330) 723-9600

104 Spink St
Wooster, OH 44691
Phone (330) 263-6021

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1598908485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N MAIN ST",
            "address_2": "6TH FLOOR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103110",
            "telephone_number": "330-379-8190",
            "fax_number": "330-379-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N MAIN ST",
            "address_2": "6TH FLOOR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103110",
            "telephone_number": "330-379-8190",
            "fax_number": "330-379-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOR",
        "first_name": "NICOLE",
        "middle_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "60 252295",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "PA",
            "license": "OS014921",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "34010211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.