Individual provider Active NPI

Tamas Alexander Ridzi, APRN

  • Family Nurse Practitioner
  • Canton, OH
National Provider Identifier
1891301859
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0027479 Issued in OH
Practice address
2852 Marlin Ave NW
Canton, OH 44708-1630
Phone
(330) 858-5236
NPI assigned
Sep 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0027479 OH Primary

Addresses

Primary practice location

2852 Marlin Ave NW
Canton, OH 44708-1630

Mailing address

2852 Marlin Ave NW
Canton, OH 44708-1630
Phone (330) 858-5236

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210504002195 OH Practitioner - Nurse Practitioner 2567871502 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland Clinic Mercy HospitalGroup PAC ID 0547156796, 92 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

1320 Mercy Dr NW
Mercy Regional Rehab
Canton, OH 44708-2641
Phone (330) 489-1068

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 636-1768

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cleveland Clinic Mercy Hospital CurrentSince Sep 27, 2023 Accepting new patients
Skill Doc 101, LLC CurrentSince Feb 3, 2021 Accepting new patients
Pinnacle Care Providers, LLC Family CurrentSince Jan 27, 2021 Accepting new patients
Mercy Professional Care, LLC Past Accepting new patients

Locations

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

4580 Stephens Cir NW
Ste 202
Canton, OH 44718
Phone (330) 597-2815

1330 Mercy Dr NW
Ste 200
Canton, OH 44708
Phone (330) 489-1000

236 3rd St SW
Canton, OH 44702
Phone (330) 754-4431

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1891301859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 MARLIN AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081630",
            "telephone_number": "330-858-5236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 MARLIN AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081630",
            "telephone_number": "330-858-5236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDZI",
        "first_name": "TAMAS",
        "middle_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0027479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.