NPIMap

Individual provider Active NPI

Chalon John Fike, MD

  • Family Medicine Physician
  • Uniontown, OH
National Provider Identifier
1740786383
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35141319 Issued in OH
Practice address
1835 Franks Pkwy
Uniontown, OH 44685-6249
Phone
(800) 237-8662
NPI assigned
Apr 3, 2018
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 35141319 OH Primary

Addresses

Primary practice location

1835 Franks Pkwy
Uniontown, OH 44685-6249

Mailing address

1835 Franks Pkwy
Uniontown, OH 44685-6249
Phone (800) 237-8662

Other identifiers 1

IdentifierTypeStateIssuer
0444204MedicaidOH

Other names 1

  • C.J. Fike Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607000856 OH Practitioner - Family Practice 3678973070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Milltown Family Physicians, Inc.Group PAC ID 5496891749, 8 clinicians

Practice addresses (Care Compare)

128 E Milltown Rd
Suite 105
Wooster, OH 44691-1276
Phone (330) 345-8060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35141319OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fike Family Primary Care Multi-Specialty CurrentSince Apr 13, 2023 Accepting new patients
Paul Nielsen LLC Multi-Specialty Current Accepting new patients
Milltown Family Physicians, Inc. Multi-Specialty Past Accepting new patients

Locations

128 E Milltown Rd
Ste 105
Wooster, OH 44691
Phone (330) 345-8060

Interoperability endpoints

  • Direct secure messaging: cfike20285@summahealth-direct.org
  • Direct secure messaging: chalonfike@mfpi.allscriptsdirect.net

Organizations & group practices 3

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

Hospital & facility affiliations 6

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": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1740786383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 FRANKS PKWY",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856249",
            "telephone_number": "800-237-8662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 FRANKS PKWY",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446856249",
            "telephone_number": "800-237-8662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIKE",
        "first_name": "CHALON",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-03",
        "last_updated": "2021-10-05",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35141319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444204",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.J.",
            "last_name": "FIKE",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.