Albert E. Payne, MD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35045395P Issued in OH

Legal business name

ALBERT E. PAYNE, MD, INC

Practice address

600 Portage TRL
Cuyahoga Falls, OH 44221-3055

Phone

(330) 923-8666

Fax

(330) 923-0244

NPI assigned

Feb 5, 2007

Organization subpart

No

Name

Rachel Snodgrass

Title

Practice Manager

Phone

(330) 923-8666

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2008.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1952440232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213055",
            "telephone_number": "330-923-8666",
            "fax_number": "330-923-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213055",
            "telephone_number": "330-923-8666",
            "fax_number": "330-923-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT E. PAYNE, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "SNODGRASS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "330-923-8666"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35045395P",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "NP01169",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0504725",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.