NPIMap

Organization Active NPI

Pioneer Physicians Network, Inc.

  • Family Medicine Physician
  • Uniontown, OH
National Provider Identifier
1851354633
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PIONEER PHYSICIANS NETWORK, INC.
Practice address
3515 Massillon Rd Ste 300
Uniontown, OH 44685-7854
Phone
(330) 899-9350
Fax
(330) 899-9363
NPI assigned
Apr 11, 2006
Last updated
Aug 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Kathleen M Kostelnick
Title
Practice Administrator
Phone
(330) 899-9350

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

3515 Massillon Rd Ste 300
Uniontown, OH 44685-7854

Mailing address

3515 Massillon Rd Ste 300
Uniontown, OH 44685-7854
Phone (330) 899-9350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722001310 OH Part B Supplier - Clinic/Group Practice 0648160002 Receives reassigned benefits from 103 practitioners
Practice locations: Wadsworth, OH; Uniontown, OH; Tallmadge, OH; Stow, OH; Norton, OH; North Canton, OH; Minerva, OH; Massillon, OH…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2282645Pioneer Physicians Network3515 Massillon Rd Suite 300, Uniontown, OH 44685Certificate of waiverMay 23, 2027

National Provider Directory

National Provider Directory

Locations

104 3rd St NW
Ste 203
Barberton, OH 44203
Phone (330) 861-2104

62 Conservatory Dr
Ste B
Barberton, OH 44203
Phone (330) 753-2400

150 Springside Dr
Ste 320C
Fairlawn, OH 44333
Phone (330) 376-1071

2651 W Market St
Ste 2
Fairlawn, OH 44333
Phone (330) 864-4488

3515 Massillon Rd
#8635
Green, OH 44685

3593 S Arlington Rd
Ste A
Green, OH 44312
Phone (330) 899-9070

4880 S Main St
Ste 4
Green, OH 44319
Phone (330) 644-2700

133 Wilbur Dr NE
North Canton, OH 44720
Phone (330) 494-6012

3300 Greenwich Rd
#8635
Norton, OH 44203
Phone (330) 825-7371

Practitioners & affiliated clinicians

Practitioners 114

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.

View all 114

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1851354633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857854",
            "telephone_number": "330-899-9350",
            "fax_number": "330-899-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 MASSILLON RD STE 300",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857854",
            "telephone_number": "330-899-9350",
            "fax_number": "330-899-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER PHYSICIANS NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "KOSTELNICK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "330-899-9350"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.