Organization Active NPI

David Anstadt, Inc.

  • Internal Medicine Physician
  • Warren, OH
National Provider Identifier
1871633297
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-040465 Issued in OH
Legal business name
DAVID ANSTADT, INC.
Practice address
2512 E Market St Ste B
Warren, OH 44483-6202
Phone
(330) 395-2491
Fax
(330) 392-6445
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Dr. David Anstadt, MD
Title
President
Phone
(330) 395-2491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35-040465 OH Primary

Addresses

Primary practice location

2512 E Market St Ste B
Warren, OH 44483-6202

Mailing address

2512 E Market St Ste B
Warren, OH 44483-6202
Phone (330) 395-2491

Other identifiers 1

IdentifierTypeStateIssuer
0538430MedicaidOH

National Provider Directory

National Provider Directory

Locations

2512 E Market St
Ste B
Warren, OH 44483
Phone (330) 395-2491

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184803200000",
    "number": "1871633297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 E MARKET ST STE B",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836202",
            "telephone_number": "330-395-2491",
            "fax_number": "330-392-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 E MARKET ST STE B",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836202",
            "telephone_number": "330-395-2491",
            "fax_number": "330-392-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ANSTADT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-19",
        "status": "A",
        "authorized_official_last_name": "ANSTADT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-395-2491",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-040465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0538430",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.