Organization Active NPI

University Primary Care Practices Inc

  • Podiatrist
  • Cuyahoga Falls, OH
National Provider Identifier
1669817094
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
UNIVERSITY PRIMARY CARE PRACTICES INC
Doing business as
Internal Medicine Specialists
Practice address
96 Graham Rd
Ste B
Cuyahoga Falls, OH 44223-1292
Phone
(330) 923-0553
Fax
(330) 923-0556
NPI assigned
Apr 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Dr. Donald Decarlo, MD
Title
Cmo, East Market
Phone
(440) 796-8827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X OH Primary

Addresses

Primary practice location

96 Graham Rd
Ste B
Cuyahoga Falls, OH 44223-1292

Mailing address

PO Box 772928
Detroit, MI 48277-2928

Other names 1

  • Internal Medicine Specialists Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1669817094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772928",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482772928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 GRAHAM RD",
            "address_2": "STE B",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231292",
            "telephone_number": "330-923-0553",
            "fax_number": "330-923-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "DECARLO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CMO, EAST MARKET",
        "authorized_official_telephone_number": "440-796-8827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.