Individual provider Active NPI

Timothy J. Kantz, M.D.

  • Psychiatry Physician
  • Akron, OH
National Provider Identifier
1891141222
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.133514 Issued in OH
Practice address
725 E Market St
Akron, OH 44305-2421
Phone
(330) 315-3706
Fax
(330) 315-1112
NPI assigned
May 4, 2016
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.133514 OH Primary

Addresses

Primary practice location

725 E Market St
Akron, OH 44305-2421

Mailing address

725 E Market St
Akron, OH 44305-2421
Phone (330) 315-3706

Other identifiers 1

IdentifierTypeStateIssuer
0178428MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815001324 OH Practitioner - Psychiatry 1153658042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3000 Erie St S
Massillon, OH 44646-7976
Phone (330) 833-3135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jul 19, 2021 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jul 19, 2021 Accepting new patients
Coleman Professional Services, Inc. Psychiatry CurrentSince Jul 10, 2019 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

3000 Erie St S
Massillon, OH 44646
Phone (330) 833-3135

Interoperability endpoints

  • Direct secure messaging: tkantz23051@mhas.direct-ci.com
  • Direct secure messaging: tkantz417410@direct.ccf.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1891141222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052421",
            "telephone_number": "330-315-3706",
            "fax_number": "330-315-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443052421",
            "telephone_number": "330-315-3706",
            "fax_number": "330-315-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTZ",
        "first_name": "TIMOTHY",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.133514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0178428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.