James Charles Demidovich in Canfield - General Practice
James Charles Demidovich - NPI 1750368825
James Charles Demidovich is a General Practice in Canfield, Ohio. James Charles Demidovich practices all healthcare services and medical treatments related to General Practice. The NPI Number for James Charles Demidovich is 1750368825. The last update date is 2019-05-29.
James Charles Demidovich's current location address is 6674 Tippecanoe Rd Ste 1, Canfield, Ohio. You can contact this provider via phone number 3305338490 and fax number 3305338783. The mailing address for James Charles Demidovich is 6674 Tippecanoe Rd Ste 1, Canfield, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Charles Demidovich |
|---|---|
| Address | 6674 Tippecanoe Rd Ste 1, Canfield, Ohio |
| Phone Number | 3305338490 |
| Fax Number | 3305338783 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1750368825 |
|---|---|
| Provider Enumeration Date | 2005-12-29 |
| Last Updated Date | 2019-05-29 |
Provider Mailing Address Detail
| Address | 6674 Tippecanoe Rd Ste 1 |
|---|---|
| City | Canfield |
| State | Ohio (OH) |
| Post Code | 444069149 |
| Phone Number | 3305338490 |
| Fax Number | 3305338783 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | 34-00-3113D |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 80053951 | OH | RAILROAD MEDICARE | |
| 449394 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to James Charles Demidovich by the Centers for Medicare & Medicaid Services?
The James Charles Demidovich has been assigned the NPI (National Provider Identifier) 1750368825 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of James Charles Demidovich?
The James Charles Demidovich is physically situated at 6674 Tippecanoe Rd Ste 1, in the city of Canfield, state of OH, with the postal code 444069149.
What is James Charles Demidovich's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for James Charles Demidovich is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.
On what date did James Charles Demidovich receive its 1750368825 assignment from the Centers for Medicare & Medicaid Services?
The James Charles Demidovich was assigned its 1750368825 on 2005-12-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding James Charles Demidovich most recently updated?
The details pertaining to the James Charles Demidovich, including its address, specialty, and other relevant information, were last refreshed on 2019-05-29.