NPIMap

Organization Active NPI

Ohio Hospital-Based Physician Corporation

  • Specialist
  • Canton, OH
National Provider Identifier
1700818986
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
OHIO HOSPITAL-BASED PHYSICIAN CORPORATION
Practice address
2302 Fulton Drive NW
Canton, OH 44709-1702
Phone
(330) 454-7237
NPI assigned
Jul 7, 2006
Last updated
May 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Faith Bestic
Title
VP
Phone
(330) 363-7462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X OH Primary

Addresses

Primary practice location

2302 Fulton Drive NW
Canton, OH 44709-1702

Mailing address

2600 6TH St SW
Canton, OH 44710-1702
Phone (330) 454-7237

Other identifiers 1

IdentifierTypeStateIssuer
2374738MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000515 OH Part B Supplier - Clinic/Group Practice 9133019110 Receives reassigned benefits from 93 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alliance, OH; Canton, OH; Massillon, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1700818986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 6TH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-454-7237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 FULTON DRIVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091702",
            "telephone_number": "330-454-7237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO HOSPITAL-BASED PHYSICIAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "BESTIC",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "330-363-7462"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2374738",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.