Endocrinology Associates of Ohio, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

34008028D Issued in OH

Legal business name

ENDOCRINOLOGY ASSOCIATES OF OHIO, LLC

Practice address

3694 Starrs Centre Dr
Canfield, OH 44406-9514

Phone

(330) 702-1310

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Michael Derosa, D.O.NPI 1770589194

Title

Proprietor

Phone

(330) 702-1310

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19596/brand/1/csg/1/fhir/r4

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Derosa, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Canfield, OH
  • NPI 1770589194
  Medicare reassignment NPD Authorized official
• Jill Renee Barton, CNP

  • Adult Health Nurse Practitioner
  • Canfield, OH
  • NPI 1922149103
  Medicare reassignment NPD
• Phyllis M Trust, D.O.

  • Family Medicine Physician
  • Canfield, OH
  • NPI 1194085811
  Medicare reassignment NPD
• Leslie Lea McIntyre, C.N.P

  • Nurse Practitioner
  • East Liverpool, OH
  • NPI 1639313919
  NPD
• Gianna Fasline, RD

  • Registered Dietitian
  • Canfield, OH
  • NPI 1578617072
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942344387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 STARRS CENTRE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069514",
            "telephone_number": "330-702-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 STARRS CENTRE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069514",
            "telephone_number": "330-702-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY ASSOCIATES OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEROSA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "330-702-1310",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "34008028D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROADMEDICARE",
            "identifier": "DD8266",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Edward Ellashek, DDS
• Amanda Ellis, DDS
• James J Elrod, L.M.T
• Ashley Emerson, PT, DPT
• Thomas Junior Emerson, D.D.S.
• Dema Halasa Esper, MS, RD, LD
• James Patrick Esperon, PH.D.
• James M. Essad, D.O.
• Kristen L Evan-Hymes, D.O.
• Ashley P Evanoski, M.S CCC-SLP

• Endocrinology, Diabetes & Metabolism Physician in Canfield, OH
• Providers in Canfield, OH by specialty
• Endocrinology, Diabetes & Metabolism Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.