Active NPI
Molecular Imaging of Hamilton
- Specialist
- Canton, OH
National Provider Identifier
1871595066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0827IC
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider DirectoryMember 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.