Organization
NORTHEASTERN OHIO MEDICAL SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHANNON RAE SCOTT CMC (ADMINISTRATIVE ASSISTANT)
(330) 869-8530
Entity
Organization
Contact information
Practice address
470 WHITE POND DR STE 100, AKRON, OH 44320-1185
(330) 869-8530
(330) 869-8539
Mailing address
470 WHITE POND DR, SUITE 100, AKRON, OH 44320-1185
(330) 869-8530
(330) 869-8539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-07-3269-W
OH
207R00000X
Internal Medicine Physician
35-07-3029M
OH
207R00000X
Internal Medicine Physician
Primary
35-07-7486M
OH
363LA2200X
Adult Health Nurse Practitioner
NP67943
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2269147
—
OH
Enumeration date
10/23/2006
Last updated
02/24/2009
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