Organization Active NPI

Pioneer Physicians Network, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Tallmadge, OH
National Provider Identifier
1801815477
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PIONEER PHYSICIANS NETWORK, INC.
Practice address
65 Community Rd
Suite C
Tallmadge, OH 44278-2357
Phone
(330) 899-9350
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Kathleen M Kostelnick
Title
Practice Administrator
Phone
(330) 899-9350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

65 Community Rd
Suite C
Tallmadge, OH 44278-2357

Mailing address

3515 Massillon Rd Suite 300
Uniontown, OH 44685-7819
Phone (330) 899-9350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1801815477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD SUITE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857819",
            "telephone_number": "330-899-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 COMMUNITY RD",
            "address_2": "SUITE C",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782357",
            "telephone_number": "330-899-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHYSICIANS NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "KOSTELNICK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "330-899-9350"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallmadge, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.