NPIMap

Individual provider Active NPI

Leonard D Tamburro, D.O.

  • Family Medicine Physician
  • North Canton, OH
National Provider Identifier
1790774842
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34004173 Issued in OH
Practice address
133 Wilbur Dr NE
North Canton, OH 44720-1641
Phone
(330) 494-6012
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34004173 OH Primary

Addresses

Primary practice location

133 Wilbur Dr NE
North Canton, OH 44720-1641

Mailing address

3515 Massillon Rd Ste 300
Uniontown, OH 44685-7854
Phone (234) 271-3353

Other identifiers 5

IdentifierTypeStateIssuer
341773700-00OtherOHBUREAU OF WORKERS COMP
000000030872OtherOHANTHEM
341773700031OtherOHCARESOURCE
080176230OtherOHRAILROAD MCR
0670760MedicaidOH

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
I20060817000006 OH Practitioner - Family PracticePractitioner - General Practice 3971506767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Ohio University, College of Osteopathic Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pioneer Physicians Network IncGroup PAC ID 0648160002, 92 clinicians

Practice addresses (Care Compare)

133 Wilbur Dr NE
North Canton, OH 44720-1641
Phone (330) 494-6012

Hospital & facility affiliations

  • Mercy Medical Center Home Health & Hospice LLC Home health agency, Canton, OH, CCN 367256
  • Northeast Professional Home Care Home health agency, Canton, OH, CCN 367696
  • Aultman Health Care in Your Home Home health agency, Canton, OH, CCN 367290
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070
  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions16
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34004173OHMDFamily Medicine Physician
4173OHMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Professional Care, LLC Family Medicine CurrentSince Jan 1, 2015 Accepting new patients
Pioneer Physicians Network, Inc. Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Pioneer Physicians Network Inc Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Portage Family Practice Clinic, Inc. CurrentSince Jul 1, 2009 Accepting new patients
DHSC LLC Past Accepting new patients

Locations

1330 Mercy Dr NW
Ste 319
Canton, OH 44708
Phone (330) 580-4706

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

3515 Massillon Rd
Ste 300
Green, OH 44685
Phone (234) 271-3353

133 Wilbur Dr NE
North Canton, OH 44720
Phone (330) 494-6012

1413 Portage St NW
North Canton, OH 44720
Phone (330) 499-7591

3300 Greenwich Rd
Unit 8
Norton, OH 44203
Phone (330) 825-7371

65 Community Rd
Ste F
Tallmadge, OH 44278
Phone (330) 633-3680

Interoperability endpoints

  • Direct secure messaging: leonard.tamburro@ppn.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBBCAA

Organizations & group practices 5

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.

Hospital & facility affiliations 10

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1790774842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857854",
            "telephone_number": "234-271-3353",
            "fax_number": "216-472-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WILBUR DR NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201641",
            "telephone_number": "330-494-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURRO",
        "first_name": "LEONARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF WORKERS COMP",
            "identifier": "341773700-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000030872",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341773700031",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "080176230",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0670760",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

Verify at the official NPI Registry.