NPIMap

Individual provider Active NPI

Diane M Minich, MD

  • Family Medicine Physician
  • Barberton, OH
National Provider Identifier
1831120682
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35052203M Issued in OH
Practice address
86 Conservatory Dr
Suite B
Barberton, OH 44203-4289
Phone
(330) 753-8802
Fax
(330) 753-8841
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35052203M OH Primary

Addresses

Primary practice location

86 Conservatory Dr
Suite B
Barberton, OH 44203-4289

Mailing address

86 Conservatory Dr
Suite B
Barberton, OH 44203-4289
Phone (330) 753-8802

Other identifiers 4

IdentifierTypeStateIssuer
2003549MedicaidOH
9330191OtherMEDICARE BILLING NUMBER
000000256797OtherOHANTHEM
481283219027OtherOHCARESOURCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000217 OH Practitioner - Family Practice 2062597313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

2818 S Arlington Rd
Coventry Township, OH 44312-4716
Phone (330) 645-0148

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35052203MOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Oct 1, 2018 Accepting new patients
Partners Physician Group Family Medicine CurrentSince Oct 1, 2018 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Talk It Out Counseling, LLC CurrentSince Feb 16, 2020 Accepting new patients

Locations

224 W Exchange St
Ste 225
Akron, OH 44302
Phone (330) 344-7400

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

86 Conservatory Dr
Ste B
Barberton, OH 44203
Phone (330) 753-8802

2818 S Arlington Rd
Coventry Township, OH 44312
Phone (330) 645-0148

647 W Turkeyfoot Lake Rd
New Franklin, OH 44319
Phone (330) 644-0670

Interoperability endpoints

  • Direct secure messaging: dminich1250104@direct.ccf.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1831120682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CONSERVATORY DR",
            "address_2": "SUITE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034289",
            "telephone_number": "330-753-8802",
            "fax_number": "330-753-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 CONSERVATORY DR",
            "address_2": "SUITE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034289",
            "telephone_number": "330-753-8802",
            "fax_number": "330-753-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINICH",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35052203M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2003549",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING NUMBER",
            "identifier": "9330191",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000256797",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "481283219027",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

Verify at the official NPI Registry.