NPIMap

Organization Active NPI

Clinic of Osteopathic Medicine, Inc

  • Family Medicine Physician
  • Niles, OH
National Provider Identifier
1891947958
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3699 Issued in OH
Legal business name
CLINIC OF OSTEOPATHIC MEDICINE, INC
Practice address
929 Robbins Ave
Niles, OH 44446-2454
Phone
(330) 652-5512
Fax
(330) 652-5122
NPI assigned
Oct 21, 2008
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
Dr. William S Eddy, D.O.NPI 1992788509
Title
Physician
Phone
(330) 652-5512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 3699 OH Primary

Addresses

Primary practice location

929 Robbins Ave
Niles, OH 44446-2454

Mailing address

929 Robbins Ave
Niles, OH 44446-2454
Phone (330) 652-5512

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1891947958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 ROBBINS AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462454",
            "telephone_number": "330-652-5512",
            "fax_number": "330-652-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 ROBBINS AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462454",
            "telephone_number": "330-652-5512",
            "fax_number": "330-652-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC OF OSTEOPATHIC MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-652-5512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "3699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.