Northeastern Ohio Medical Specialists Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35-07-7486M Issued in OH

Legal business name

NORTHEASTERN OHIO MEDICAL SPECIALISTS INC

Practice address

470 White Pond Dr Ste 100
Akron, OH 44320-1185

Phone

(330) 869-8530

Fax

(330) 869-8539

NPI assigned

Oct 23, 2006

Last updated

Feb 24, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Rae Scott, CMC

Title

Administrative Assistant

Phone

(330) 869-8530

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FGEEAA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie B. Armstrong, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
  • NPI 1336734656
  Medicare reassignment Care Compare group NPD
• Kelly Lynn Moorhead, M.D.

  • Internal Medicine Physician
  • Akron, OH
  • NPI 1225020225
  Medicare reassignment Care Compare group NPD
• Colin Stuart Moorhead, M.D.

  • Internal Medicine Physician
  • Akron, OH
  • NPI 1518959519
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235433600000",
    "number": "1609959931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 WHITE POND DR",
            "address_2": "SUITE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201185",
            "telephone_number": "330-869-8530",
            "fax_number": "330-869-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 WHITE POND DR STE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201185",
            "telephone_number": "330-869-8530",
            "fax_number": "330-869-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEASTERN OHIO MEDICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2009-02-24",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "330-869-8530",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP67943",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-07-3269-W",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-07-3029M",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-07-7486M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2269147",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Northeast Ohio Nephrology Associates Inc
• Northeast Regional Residential Services LLC
• Northern Ohio Medical Specialists, LLC (NOMS Healthcare)
• Northern Summit Radiology, LLC
• Northland Hearing Centers Inc (All American Hearing)
• Northside Rehabilitation (WellWorks, Inc.)
• Tameica Norwood

• Internal Medicine Physician in Akron, OH
• Providers in Akron, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.