NPIMap

Organization Active NPI

Pioneer Physicians Network, Inc.

Doing business as Internal Medicine of Greene

  • Internal Medicine Physician
  • Akron, OH
National Provider Identifier
1619119575
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34003114 Issued in OH
Legal business name
PIONEER PHYSICIANS NETWORK, INC.
Doing business as
Internal Medicine of Greene
Practice address
3593 S Arlington Rd
Akron, OH 44312-5271
Phone
(330) 899-9070
Fax
(330) 899-0651
NPI assigned
Mar 24, 2009
Organization subpart
Yes
Parent organization
PIONEER PHYSICIANS NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Kathleen M Kostelnick
Title
Practice Administrator
Phone
(330) 899-9350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 34003114 OH Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 35073082 OH

Addresses

Primary practice location

3593 S Arlington Rd
Akron, OH 44312-5271

Mailing address

1640 Corporate Woods Cir
Uniontown, OH 44685-7819
Phone (330) 899-9350

Other names 1

  • Internal Medicine of Greene Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pioneer Physician Netwo5 organizations share this tax ID, including this one
Part of
Pioneer Physician Netwo

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1640 Corporate Woods Cir
Uniontown, OH 44685
Phone (330) 899-9350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1619119575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 CORPORATE WOODS CIR",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857819",
            "telephone_number": "330-899-9350",
            "fax_number": "330-899-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271",
            "telephone_number": "330-899-9070",
            "fax_number": "330-899-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHYSICIANS NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PIONEER PHYSICIANS NETWORK, INC.",
        "enumeration_date": "2009-03-24",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "KOSTELNICK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "330-899-9350"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34003114",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073082",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine of Greene",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Internal Medicine of Greene",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 14, 2020; 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.