Active NPI
Nicole Theresa Labor, D.O.
- Addiction Medicine (Family Medicine) Physician
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- 34010211
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60 252295 | NY | MD | Family Medicine Physician |
| 34010211 | OH | MD | Addiction Medicine (Family Medicine) Physician |
| OS014921 | PA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oneeighty, Inc. | Current | Accepting new patients | |
| Ohioguidestone | Family Medicine | Current | Accepting new patients |
| Ohioguidestone | Current | Accepting new patients | |
| Esper Treatment Center Inc | Current | Accepting new patients | |
| Oneeighty, Inc. | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.