Organization Active NPI

Diane Minich M D Inc

  • Family Medicine Physician
  • Barberton, OH
National Provider Identifier
1861673378
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35052203M Issued in OH
Legal business name
DIANE MINICH M D INC
Practice address
86 Conservatory Dr
Ste B
Barberton, OH 44203-4289
Phone
(330) 753-8802
Fax
(330) 753-8841
NPI assigned
Nov 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Authorized official

Name
Diane Minich, M.D.
Title
Ceo
Phone
(330) 753-8802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35052203M OH Primary

Addresses

Primary practice location

86 Conservatory Dr
Ste B
Barberton, OH 44203-4289

Mailing address

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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1861673378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CONSERVATORY DR",
            "address_2": "STE 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": "STE B",
            "city": "BARBERTON",
            "state": "OH",
            "postal_code": "442034289",
            "telephone_number": "330-753-8802",
            "fax_number": "330-753-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE MINICH M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "MINICH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-753-8802",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35052203M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barberton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.