Willglowe Health Services, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WILLGLOWE HEALTH SERVICES, INC

Practice address

2201 E Maple St
North Canton, OH 44720-9997

Phone

(330) 361-0329

NPI assigned

May 6, 2020

Organization subpart

No

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

Authorized official

Name

Gloria J Koomson, MDNPI 1376816330

Title

Medical Director

Phone

(216) 200-1791

Specialties & licenses 1

Addresses

Other names 1

• Willglowe Internal Medicine Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gloria J Koomson, M.D

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1376816330
  NPD Authorized official

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1720609217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2165",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447200165",
            "telephone_number": "330-361-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 E MAPLE ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447209997",
            "telephone_number": "330-361-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLGLOWE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "KOOMSON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "216-200-1791",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willglowe Internal Medicine",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Willglowe Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott Wiener, COTA/L
• Paul Wienken
• Samantha Wilds, OTR/L
• Deena Wilkins, COTA
• Steven Mark Willard, M.D.
• Casey M Williams, SLP
• Elizabeth Williams, PHARMD, RPH
• Holly Williams, LPTA
• Joanna L Williams, PCC
• Joshua Anthony Williams, SWT

• Internal Medicine Physician in North Canton, OH
• Providers in North Canton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.