Organization Active NPI

Ohio Head and Neck Surgeons, Inc

  • Otolaryngology Physician
  • Canton, OH
National Provider Identifier
1659468874
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
OHIO HEAD AND NECK SURGEONS, INC
Practice address
4912 Higbee Ave NW
Suite 200
Canton, OH 44718-2530
Phone
(330) 492-2844
NPI assigned
Oct 9, 2006
Last updated
Jun 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Authorized official

Name
Dr. Steven J Ossakow, MDNPI 1225050248
Title
Partner
Phone
(330) 492-2844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Primary

Addresses

Primary practice location

4912 Higbee Ave NW
Suite 200
Canton, OH 44718-2530

Mailing address

4912 Higbee Ave NW
Suite 200
Canton, OH 44718-2530
Phone (330) 492-2844

Other identifiers 1

IdentifierTypeStateIssuer
0269187MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050923000728 OH Part B Supplier - Clinic/Group Practice 2860426376 Receives reassigned benefits from 13 practitioners
Practice locations: Canton, OH

National Provider Directory

National Provider Directory

Locations

4912 Higbee Ave NW
Canton, OH 44718
Phone (330) 492-0685

4912 Higbee Ave NW
Ste 200
Canton, OH 44718
Phone (330) 492-2844

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1659468874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4912 HIGBEE AVE NW",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182530",
            "telephone_number": "330-492-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4912 HIGBEE AVE NW",
            "address_2": "SUITE 200",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182530",
            "telephone_number": "330-492-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO HEAD AND NECK SURGEONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "OSSAKOW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "330-492-2844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0269187",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.