Organization Active NPI

Health Care Providers Inc

  • Family Medicine Physician
  • Canfield, OH
National Provider Identifier
1851377949
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTH CARE PROVIDERS INC
Practice address
6674 Tippecanoe Rd Ste 1
Canfield, OH 44406-9149
Phone
(330) 533-8490
Fax
(330) 533-8783
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Mr. James Charles Demidovich, DONPI 1750368825
Title
President
Phone
(330) 533-8490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

6674 Tippecanoe Rd Ste 1
Canfield, OH 44406-9149

Mailing address

6674 Tippecanoe Rd Ste 1
Canfield, OH 44406-9149
Phone (330) 533-8490

Other identifiers 2

IdentifierTypeStateIssuer
CD0438OtherOHMEDICARE TRAVELERS
0881550MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040607000424 OH Part B Supplier - Clinic/Group Practice 9133101785 Receives reassigned benefits from 2 practitioners
Practice locations: Boardman, OH; Canfield, OH; Columbiana, OH; North Lima, OH; Salem, OH; Youngstown, OH

National Provider Directory

National Provider Directory

Locations

6674 Tippecanoe Rd
Ste 1
Canfield, OH 44406
Phone (330) 533-0919

6575 Seville Dr
Ste A
Canfield, OH 44406

54 S Main St
Poland, OH 44514
Phone (330) 757-3114

1735 Belmont Ave
Youngstown, OH 44504
Phone (330) 333-4727

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1851377949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6674 TIPPECANOE RD STE 1",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069149",
            "telephone_number": "330-533-8490",
            "fax_number": "330-533-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6674 TIPPECANOE RD STE 1",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069149",
            "telephone_number": "330-533-8490",
            "fax_number": "330-533-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH CARE PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "DEMIDOVICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-533-8490",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "CD0438",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0881550",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.