Active NPI
Son N Dang, MD
- Family Medicine Physician
- Massillon, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35071045
- Practice address
- 2606 Wales Ave NW
Suite 200
Massillon, OH 44646-2340 - Phone
- (330) 834-4735
- Fax
- (330) 834-4736
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35071045 | OH | Primary |
Addresses
Primary practice location
2606 Wales Ave NW
Suite 200
Massillon, OH 44646-2340
Mailing address
2606 Wales Ave NW
Suite 200
Massillon, OH 44646-2340
Phone (330) 834-4735
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043700096 | Other | OH | PHCS |
| 331940002 | Other | OH | CARESOURCE |
| 2034828 | Medicaid | OH | |
| 2836702 | Other | OH | AETNA SELECT CHOICE |
| 868623302 | Other | OH | CIGNA |
| 90305 | Other | OH | QUALCHOICE |
| 000000230399 | Other | OH | ANTHEM |
| 515 | Other | OH | SUMMACARE |
| 5078576 | Other | OH | AETNA MC & EC |
| QG03984 | Other | OH | HOMETOWN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100324000609 | OH | Practitioner - Family Practice | 4981649886 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cleveland Clinic Mercy HospitalMercy Professional Care, LLCCleveland Clinic
Practice addresses (Care Compare)
1330 Mercy Dr NW
Suite 200
Canton, OH 44708-2624
Phone (330) 489-1000
7337 Caritas Cir NW
Massillon, OH 44646-9126
Phone (330) 830-6110
7337 Caritas Cir NW
Suite 220
Massillon, OH 44646-9127
Phone (330) 830-6112
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 636-1768
Hospital & facility affiliations
- Advantage Home Health Services, Inc
- Mercy Medical Center
- Aultman Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35071045 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aultman Hospital | Current | Accepting new patients | |
| Aultman Hospital | Current | Accepting new patients | |
| Mercy Professional Care, LLC | Family Medicine | Current | Accepting new patients |
| The Cleveland Clinic Foundation | Family Medicine | Current | Accepting new patients |
| Aultman Hospital | Current | Accepting new patients | |
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Cleveland Clinic Mercy Hospital | Current | Accepting new patients |
Locations
1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706
2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180
2600 7th St SW
Canton, OH 44710
Phone (330) 363-6242
1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
2606 Wales Ave NW
Ste 200
Massillon, OH 44646
Phone (330) 833-8996
2606 Wales Ave NW
Massillon, OH 44646
Phone (330) 834-4735
7337 Caritas Cir NW
Ste 220
Massillon, OH 44646
Phone (330) 489-1362
7337 Caritas Cir NW
Ste 280
Massillon, OH 44646
Phone (330) 458-4180
Organizations & group practices 22
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.
-
- Internal Medicine Physician
- Canton, OH
- NPI 1902827876
Family Medicine, OH
-
- Prosthetic/Orthotic Supplier
- Canton, OH
- NPI 1225231103
-
- Rehabilitation Hospital Unit
- Canton, OH
- NPI 1487605978
-
- Eyewear Supplier
- Avon Lake, OH
- NPI 1104334226
-
- Eyewear Supplier
- North Ridgeville, OH
- NPI 1245748300
-
- Durable Medical Equipment & Medical Supplies
- Oberlin, OH
- NPI 1265537179
-
- Clinic Pharmacy
- Strongsville, OH
- NPI 1295717593
-
- Eyewear Supplier
- Akron, OH
- NPI 1326175183
-
- Clinic Pharmacy
- Willoughby Hills, OH
- NPI 1346348091
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- North Canton, OH
- NPI 1710141163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479686400000",
"number": "1699764944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 WALES AVE NW",
"address_2": "SUITE 200",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462340",
"telephone_number": "330-834-4735",
"fax_number": "330-834-4736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2606 WALES AVE NW",
"address_2": "SUITE 200",
"city": "MASSILLON",
"state": "OH",
"postal_code": "446462340",
"telephone_number": "330-834-4735",
"fax_number": "330-834-4736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANG",
"first_name": "SON",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2016-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35071045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "043700096",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "331940002",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2034828",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA SELECT CHOICE",
"identifier": "2836702",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "868623302",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "90305",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000230399",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "515",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA MC & EC",
"identifier": "5078576",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOMETOWN",
"identifier": "QG03984",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Massillon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.