North Canton Medical Foundation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NORTH CANTON MEDICAL FOUNDATION

Practice address

830 Amherst Rd NE
Suite 201
Massillon, OH 44646-8518

Phone

(330) 837-6825

Fax

(330) 830-3255

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Timothy J. Murphy

Title

Cfo

Phone

(330) 433-1403

Specialties & licenses 1

Addresses

Other names 1

• Amherst Internal Medicine Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Aultman North Canton Medical Group

  • Multi-Specialty Clinic/Center
  • North Canton, OH
  • NPI 1245257088

  O20040518001528

  Same enrollment
• North Canton Medical Foundation

  • Multi-Specialty Clinic/Center
  • Massillon, OH
  • NPI 1588681340

  O20040518001528

  Same enrollment

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Aultman Cancer Care LLC

  • Oncology Clinic/Center
  • Canton, OH
  • NPI 1043883028

  Member Of

  NPD member

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1912924671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6046 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207616",
            "telephone_number": "330-433-1200",
            "fax_number": "330-305-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 AMHERST RD NE",
            "address_2": "SUITE 201",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468518",
            "telephone_number": "330-837-6825",
            "fax_number": "330-830-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CANTON MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-433-1403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amherst Internal Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank Nikolaidis, DO
• Sarah Nobles
• Jessica Norris, SLP
• North Canton Medical Foundation
• North Canton Medical Foundation
• Northeast Ohio Eye Surgeons, Inc.
• Northern Ohio Emergency Physicians LLP
• Northern Ohio Emergency Physicians LLP
• Michael J Nosky, CRNA
• Jessie Notz

• All providers in Massillon, OH
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.