Active NPI
Vasant Betkerur, M.D.
- Specialist
- Canton, OH
National Provider Identifier
1922043736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35046020B
- Practice address
- 2600 Tuscarawas St W
Suite 400
Canton, OH 44708-4644 - Phone
- (330) 458-2000
- Fax
- (330) 458-2010
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35046020B | OH | Primary |
Addresses
Primary practice location
2600 Tuscarawas St W
Suite 400
Canton, OH 44708-4644
Mailing address
2600 Tuscarawas St W
Suite 400
Canton, OH 44708-4644
Phone (330) 458-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0461727 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35046020B | OH | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205280000000",
"number": "1922043736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 TUSCARAWAS ST W",
"address_2": "SUITE 400",
"city": "CANTON",
"state": "OH",
"postal_code": "447084644",
"telephone_number": "330-458-2000",
"fax_number": "330-458-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 TUSCARAWAS ST W",
"address_2": "SUITE 400",
"city": "CANTON",
"state": "OH",
"postal_code": "447084644",
"telephone_number": "330-458-2000",
"fax_number": "330-458-2010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETKERUR",
"first_name": "VASANT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2008-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "35046020B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0461727",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
- Bethany Health & Rehabilitation Center LLC
- Bethany Health & Rehabilitation Center LLC
- Bethany Medical Center Inc
- Bethany Nursing Home, Inc.
- Mangala V Betkerur, MD
- Better Lifestyles Residential Services LLC
- Wendy M Bettes, SWA
- Elaina Marie Bettura, PHARMD
- Nicole Lee Betz, LPN
- Maximillian Gustav Beushausen, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.