Active NPI
University Primary Care Practices Inc
- Podiatrist
- Cuyahoga Falls, OH
National Provider Identifier
1669817094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 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
National Provider Directory
National Provider DirectoryNPI 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.