Tolga Icli, M.D.

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

Organization subpart

No

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

Authorized official

Name

Dr. Tolga Icli, M.D.

Title

Physician

Phone

(330) 799-8752

Specialties & licenses 1

Addresses

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": []
}

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• Family Medicine Physician in Austintown, OH
• Providers in Austintown, OH by specialty
• Family Medicine Physician in Ohio

• 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.