NPIMap

Individual provider Active NPI

Jose M Casanova, MD PHD

  • Neurology Physician
  • Canton, OH
National Provider Identifier
1851325542
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
35068865 Issued in OH
Practice address
4105 Holiday St NW
Canton, OH 44718-2531
Phone
(330) 494-2097
Fax
(330) 494-9750
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 35068865 OH Primary
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X 35-068865 OH

Addresses

Primary practice location

4105 Holiday St NW
Canton, OH 44718-2531

Mailing address

4105 Holiday St NW
Canton, OH 44718-2531
Phone (330) 494-2097

Other identifiers 1

IdentifierTypeStateIssuer
0234580MedicaidOH

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
I20041206001218 OH Practitioner - Neurology 3274599733 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

500 Portage Lakes Dr
Coventry Township, OH 44319-2299
Phone (234) 571-9933

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Aultman Hospital Hospital, Canton, OH, CCN 360084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-068865OHMDPain Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Neurology CurrentSince Mar 9, 2020 Accepting new patients
Ohio Hospital-Based Physician Corporation CurrentSince Apr 1, 2000 Accepting new patients
Ohio Hospital-Based Physicians Corporation CurrentSince Apr 1, 2000 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Ohio Physician Professional Corporation CurrentSince Oct 25, 2014 Accepting new patients
Summa Physicians LLC CurrentSince Mar 9, 2020 Accepting new patients
Summa Physicians LLC Past Accepting new patients
Ohio Hospital-Based Physician Corporation Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

2302 Fulton Rd NW
Canton, OH 44709
Phone (330) 454-7237

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

500 Portage Lakes Dr
Ste B
Coventry Township, OH 44319
Phone (330) 245-1608

2051 Wales Ave NW
Massillon, OH 44646
Phone (330) 363-7462

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

830 S Main St
Ste 4
Orrville, OH 44667

Interoperability endpoints

  • Direct secure messaging: jcasanova22354@summahealth-direct.org

Organizations & group practices 8

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 4

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1851325542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35068865",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "OH",
            "license": "35-068865",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234580",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.