NPIMap

Individual provider Active NPI

Alexander D Masters, FNP

  • Family Nurse Practitioner
  • Canfield, OH
National Provider Identifier
1750775813
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
COA.16630-NP Issued in OH
Practice address
479 Shadydale Dr
Canfield, OH 44406-9654
Phone
(330) 719-1990
NPI assigned
Mar 26, 2015
Last updated
Mar 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X COA.16630-NP OH Primary

Addresses

Primary practice location

479 Shadydale Dr
Canfield, OH 44406-9654

Mailing address

479 Shadydale Dr
Canfield, OH 44406-9654
Phone (330) 719-1990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151105001590 OH Practitioner - Nurse Practitioner 4587974423 Reassigns benefits to 2 organizations
I20220908000109 PA Practitioner - Nurse Practitioner 4587974423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Gastroenterology Clinic and Endoscopy Center IncGroup PAC ID 3274429477, 36 clinicians
SCH Professional CorporationGroup PAC ID 0941291868, 59 clinicians

Practice addresses (Care Compare)

1622 E Market St
Warren, OH 44483-6613
Phone (330) 399-7215

2094 E State St
Suite B
Salem, OH 44460-4409
Phone (330) 337-8709

949 N Hermitage Rd
Hermitage Gastroenterology Group Inc
Hermitage, PA 16148-3219
Phone (330) 399-7215

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as apm
Quality
69.69
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.16630-NPOHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
SCH Professional Corporation CurrentSince Apr 1, 2021 Accepting new patients
The Gastroenterology Clinic & Endoscopy Center Inc CurrentSince Sep 12, 2015 Accepting new patients

Locations

235 E State Route 14
Columbiana, OH 44408
Phone (330) 399-7215

750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332

2094 E State St
Ste B
Salem, OH 44460
Phone (330) 332-1939

1622 E Market St
Warren, OH 44483
Phone (330) 399-7215

1220 Boardman Canfield Rd
Youngstown, OH 44512
Phone (330) 726-0131

949 N Hermitage Rd
Hermitage, PA 16148
Phone (330) 399-7215

Interoperability endpoints

  • Direct secure messaging: alexander.masters@salemregional.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1750775813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 SHADYDALE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069654",
            "telephone_number": "330-719-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 SHADYDALE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069654",
            "telephone_number": "330-719-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "ALEXANDER",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA.16630-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.