Individual provider Active NPI

Arnold F Nothnagel, DO

  • Retina Specialist (Ophthalmology) Physician
  • Canton, OH
National Provider Identifier
1699754606
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
34-003648 Issued in OH
Practice address
4690 Munson St NW
Canton, OH 44718-3636
Phone
(330) 966-9800
Fax
(330) 966-9803
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 34-003648 OH
Retina Specialist (Ophthalmology) Physician 207WX0107X 34-003648 OH Primary

Addresses

Primary practice location

4690 Munson St NW
Canton, OH 44718-3636

Mailing address

4690 Munson St NW
Canton, OH 44718-3636
Phone (330) 966-9800

Other identifiers 2

IdentifierTypeStateIssuer
0692522MedicaidOH
P00290869OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000051 OH Practitioner - Ophthalmology 4880635523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Associates of Cleveland, Inc.Group PAC ID 2769463785, 19 clinicians

Practice addresses (Care Compare)

4334 Munson St NW
Suite 100
Canton, OH 44718-3674
Phone (330) 699-9800

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3648OHMDOptometrist
34-003648OHMDRetina Specialist (Ophthalmology) Physician
03648OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Associates of Cleveland, Inc. Ophthalmology CurrentSince Jan 1, 2019 Accepting new patients
The Retina Group of Northeast Ohio Inc Ophthalmology PastSince Nov 7, 1994 Accepting new patients

Locations

24075 Commerce Park
Beachwood, OH 44122
Phone (216) 831-5700

1502 Deerpath Dr
Cambridge, OH 43725
Phone (740) 439-3020

4334 Munson St NW
Ste 100
Canton, OH 44718

4690 Munson St NW
Canton, OH 44718
Phone (330) 966-9800

4690 Munson St NW
Ste D
Canton, OH 44718
Phone (330) 699-9800

650 Graham Rd
Cuyahoga Fls, OH 44221
Phone (330) 922-9860

340 Oxford St
Ste 210
Dover, OH 44622
Phone (330) 602-8351

340 Oxford St
Ste 102
Dover, OH 44622
Phone (330) 602-3200

3591 Reserve Commons Dr
Ste 101
Medina, OH 44256
Phone (330) 434-1185

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1699754606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183636",
            "telephone_number": "330-966-9800",
            "fax_number": "330-966-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183636",
            "telephone_number": "330-966-9800",
            "fax_number": "330-966-9803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOTHNAGEL",
        "first_name": "ARNOLD",
        "middle_name": "F",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "34-003648",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "OH",
            "license": "34-003648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0692522",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00290869",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.