Healthworks Med Group of Ohio Corp., P. a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHWORKS MED GROUP OF OHIO CORP., P. A.

Practice address

45 Goodyear Blvd
Akron, OH 44305-4032

Phone

(330) 796-0229

Fax

(330) 796-0234

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Rochelle A Broome, M.D.

Title

PC Owner

Phone

(615) 565-1733

Specialties & licenses 1

Addresses

Other names 1

• Goodyear Family Medical Center Doing business as

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821172776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 BURTON HILLS BLVD",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156155",
            "telephone_number": "615-565-1733",
            "fax_number": "615-296-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 GOODYEAR BLVD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443054032",
            "telephone_number": "330-796-0229",
            "fax_number": "330-796-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWORKS MED GROUP OF OHIO CORP., P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOME",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PC OWNER",
        "authorized_official_telephone_number": "615-565-1733",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goodyear Family Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.