Active NPI
Ahn Emergency Group of Ellwood City, LTD.
- Emergency Medicine Physician
- Ellwood City, PA
National Provider Identifier
1861879652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- AHN EMERGENCY GROUP OF ELLWOOD CITY, LTD.
- Practice address
- 724 Pershing St
Ellwood City, PA 16117-1474 - Phone
- (330) 493-4443
- NPI assigned
- Apr 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Packo
- Title
- President
- Phone
- (330) 493-4443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
724 Pershing St
Ellwood City, PA 16117-1474
Mailing address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430352000000",
"number": "1861879652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4535 DRESSLER RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447182545",
"telephone_number": "330-493-4443",
"fax_number": "330-493-8677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 PERSHING ST",
"city": "ELLWOOD CITY",
"state": "PA",
"postal_code": "161171474",
"telephone_number": "330-493-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHN EMERGENCY GROUP OF ELLWOOD CITY, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-30",
"last_updated": "2015-04-30",
"status": "A",
"authorized_official_last_name": "PACKO",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-493-4443"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ellwood City, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.