Organization Active NPI

Sawburg Clinic, Inc.

  • Family Medicine Physician
  • Alliance, OH
National Provider Identifier
1851664049
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SAWBURG CLINIC, INC.
Practice address
885 S Sawburg Ave
Suite 103
Alliance, OH 44601-5926
Phone
(330) 823-0200
Fax
(330) 823-6831
NPI assigned
Feb 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Timothy Hirst, MD
Title
Owner
Phone
(330) 823-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

885 S Sawburg Ave
Suite 103
Alliance, OH 44601-5926

Mailing address

885 S Sawburg Ave
Suite 103
Alliance, OH 44601-5926
Phone (330) 823-0200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1851664049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 S SAWBURG AVE",
            "address_2": "SUITE 103",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015926",
            "telephone_number": "330-823-0200",
            "fax_number": "330-823-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 S SAWBURG AVE",
            "address_2": "SUITE 103",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015926",
            "telephone_number": "330-823-0200",
            "fax_number": "330-823-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAWBURG CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-17",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "HIRST",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-823-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.