Valley Palliative Care LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VALLEY PALLIATIVE CARE LLC

Practice address

3685 Hunters HL
Poland, OH 44514-5306

Phone

(330) 757-7160

Fax

(330) 757-7169

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Frank Tareshawty Jr., M.D.

Title

Medical Director

Phone

(330) 757-7160

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1669646436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3685 HUNTERS HL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145306",
            "telephone_number": "330-757-7160",
            "fax_number": "330-757-7169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3685 HUNTERS HL",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445145306",
            "telephone_number": "330-757-7160",
            "fax_number": "330-757-7169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "TARESHAWTY",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-757-7160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2850802",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Poland, OH
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.