Rem Jr., Inc.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

35064913 Issued in OH

Legal business name

REM JR., INC.

Practice address

3632 W Market St
Suite 102
Fairlawn, OH 44333-2494

Phone

(330) 665-5403

Fax

(330) 665-5401

NPI assigned

Apr 24, 2009

Organization subpart

No

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

Authorized official

Name

Heather Renee Moran

Title

Office Manager

Phone

(330) 665-5403

Specialties & licenses 1

Addresses

Other names 1

• Robert E. Marsico Jr., M.D. Other name

Locations

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243814400000",
    "number": "1801030598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 W MARKET ST",
            "address_2": "SUITE 102",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332494",
            "telephone_number": "330-665-5403",
            "fax_number": "330-665-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 W MARKET ST",
            "address_2": "SUITE 102",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443332494",
            "telephone_number": "330-665-5403",
            "fax_number": "330-665-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REM JR., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-06-01",
        "status": "A",
        "authorized_official_last_name": "MORAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-665-5403"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "OH",
            "license": "35064913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert E. Marsico Jr., M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• MOHS-Micrographic Surgery Physician in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• MOHS-Micrographic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.