Organization Active NPI

Molecular Imaging of Hamilton

  • Specialist
  • Canton, OH
National Provider Identifier
1871595066
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0827IC Issued in OH
Legal business name
MOLECULAR IMAGING OF HAMILTON
Practice address
4197 Fulton Dr NW
Suite C
Canton, OH 44718-2819
Phone
(330) 491-1490
Fax
(330) 491-1466
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Mr. Shawn J Smith
Title
Secretary/Treasurer
Phone
(330) 526-0005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0827IC OH Primary

Addresses

Primary practice location

4197 Fulton Dr NW
Suite C
Canton, OH 44718-2819

Mailing address

PO Box 20347
Canton, OH 44701-0347
Phone (330) 491-1490

Other practice location 1

3125 Hamilton Mason Road
Hamilton, OH 45011-5307
Phone (330) 491-1490

Other names 1

  • Molecular Imaging of Hamilton County, LLC Other name

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4197 Fulton Dr NW
#C
Canton, OH 44718
Phone (330) 491-1490

4912 Higbee Ave NW
Ste 110
Canton, OH 44718
Phone (330) 491-1490

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1871595066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20347",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447010347",
            "telephone_number": "330-491-1490",
            "fax_number": "330-491-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4197 FULTON DR NW",
            "address_2": "SUITE C",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182819",
            "telephone_number": "330-491-1490",
            "fax_number": "330-491-1466"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3125 Hamilton Mason Road",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450115307",
            "country_code": "US",
            "telephone_number": "330-491-1490",
            "fax_number": "330-491-1466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOLECULAR IMAGING OF HAMILTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "330-526-0005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "0827IC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Molecular Imaging of Hamilton County, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.