NPIMap

Organization Active NPI

Tolga Icli, M.D.

  • Family Medicine Physician
  • Austintown, OH
National Provider Identifier
1811355282
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35097338 Issued in OH
Legal business name
TOLGA ICLI, M.D.
Practice address
1450 S Canfield Niles Rd
Austintown, OH 44515-4085
Phone
(330) 799-8752
Fax
(330) 799-8754
NPI assigned
Feb 1, 2016
Last updated
Mar 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Dr. Tolga Icli, M.D.NPI 1114182979
Title
Physician
Phone
(330) 799-8752

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35097338 OH Primary

Addresses

Primary practice location

1450 S Canfield Niles Rd
Austintown, OH 44515-4085

Mailing address

1450 S Canfield Niles Rd
Austintown, OH 44515-4085
Phone (330) 799-8752

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1811355282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154085",
            "telephone_number": "330-799-8752",
            "fax_number": "330-799-8754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S CANFIELD NILES RD",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154085",
            "telephone_number": "330-799-8752",
            "fax_number": "330-799-8754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLGA ICLI, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "ICLI",
        "authorized_official_first_name": "TOLGA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-799-8752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35097338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.