United Health Clinical Research Limited LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35053624W Issued in OH

Legal business name

UNITED HEALTH CLINICAL RESEARCH LIMITED LLC

Practice address

4109 Cove Cir NW
Canton, OH 44708-6006

Phone

(800) 527-0336

Fax

(330) 244-8521

NPI assigned

Feb 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Frederick C Whittier, M.D.

Title

President

Phone

(800) 527-0336

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1871732453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 COVE CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447086006",
            "telephone_number": "800-527-0336",
            "fax_number": "330-244-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 COVE CIR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447086006",
            "telephone_number": "800-527-0336",
            "fax_number": "330-244-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTH CLINICAL RESEARCH LIMITED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "WHITTIER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-527-0336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35053624W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0632211",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Canton, OH
• Providers in Canton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.

Verify at the official NPI Registry.