Individual provider Active NPI

Irene H Chenowith, MD

  • Internal Medicine Physician
  • Uniontown, OH
National Provider Identifier
1891775540
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-04-8962 Issued in OH
Practice address
1402 Boettler Rd
Ste. C
Uniontown, OH 44685-9584
Phone
(330) 899-0103
Fax
(330) 899-0268
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-04-8962 OH Primary

Addresses

Primary practice location

1402 Boettler Rd
Ste. C
Uniontown, OH 44685-9584

Mailing address

1402 Boettler Rd
Ste. C
Uniontown, OH 44685-9584
Phone (330) 899-0103

Other identifiers 3

IdentifierTypeStateIssuer
0531357MedicaidOH
0532103OtherOHMEDICARE ID
0532104OtherOHMEDICARE ID

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
I20040423000427 OH Practitioner - Geriatric Medicine 6204822315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Medical College of Ohio, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-6350

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020
  • Akron General Medical Center Hospital, Akron, OH, CCN 360027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Mar 31, 2007 Accepting new patients
Summa Physicians LLC CurrentSince Mar 31, 2007 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Health System Past Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

55 Arch St
Ste 1B
Akron, OH 44304
Phone (330) 375-7779

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

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

1402 Boettler Rd
Ste C
Green, OH 44685
Phone (330) 899-0103

Interoperability endpoints

  • Direct secure messaging: ichenowith19508@summahealth-direct.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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1891775540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 BOETTLER RD",
            "address_2": "STE. C",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859584",
            "telephone_number": "330-899-0103",
            "fax_number": "330-899-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 BOETTLER RD",
            "address_2": "STE. C",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446859584",
            "telephone_number": "330-899-0103",
            "fax_number": "330-899-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENOWITH",
        "first_name": "IRENE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-04-8962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0531357",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0532103",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "0532104",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, OH

Sources for this page

Verify at the official NPI Registry.