City of Macedonia

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CITY OF MACEDONIA

Practice address

9691 Valley View Rd
Macedonia, OH 44056-2044

Phone

(330) 468-8339

Fax

(330) 468-8393

NPI assigned

Mar 29, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Timothy Black

Title

Chief

Phone

(330) 468-8339

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962522631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9691 VALLEY VIEW RD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562044",
            "telephone_number": "330-468-8339",
            "fax_number": "330-468-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9691 VALLEY VIEW RD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562044",
            "telephone_number": "330-468-8339",
            "fax_number": "330-468-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MACEDONIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "330-468-8339",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2235852",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Lynn Cales, DO
• Juliana Pabon Carrus, CCC-SLP
• Keshia Chambers
• Ike Childress
• Emily Waler Cihon
• Shannon T Clark, LMT
• Christopher James Conklin
• Cotrell Inc (Philip J. Cotrell, O.D.)
• Philip Cotrell, OD
• Shacorrah Nicole Crosby, DPT

• Ambulance in Macedonia, OH
• Providers in Macedonia, OH by specialty
• Ambulance 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.