Canton Primary Care & Hospital Medicine, Inc..

Primary specialty

SpecialistTaxonomy code 174400000X

License

35074148W Issued in OH

Legal business name

CANTON PRIMARY CARE & HOSPITAL MEDICINE, INC..

Practice address

4168 Holiday St NW
Canton, OH 44718-2532

Phone

(330) 454-1693

Fax

(330) 454-1683

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric X Wang, M.D.NPI 1306802376

Title

M.D.

Phone

(330) 454-1693

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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.

• Eric X Wang, M.D.

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1306802376
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1932227899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4168 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182532",
            "telephone_number": "330-454-1693",
            "fax_number": "330-454-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4168 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182532",
            "telephone_number": "330-454-1693",
            "fax_number": "330-454-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON PRIMARY CARE & HOSPITAL MEDICINE, INC..",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "330-454-1693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35074148W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000329691",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306802376",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2946834",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canton Internal Medicine Associates Ince
• Canton Ophthalmology Associates, Inc.
• Canton Orthotic Laboratory Inc
• Canton Pathology Associates, Inc.
• Canton Pediatric Dental Center
• Canton Rehabilitation and Nursing Center LLC (Hall of Fame Rehabilitation and Nursing Center)
• Canton Smiles, Inc
• Canton SNF Opco LLC (Hall of Fame Health Care Center)
• Canton South Dental, Cook, Rotolo & Earich, LLC
• Canton Urology Association,Inc

• Specialist in Canton, OH
• Providers in Canton, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.