MEDICARE: DR. JOHN CHARLES ANDREOZZI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083A0300X	Addiction Medicine (Preventive Medicine) Physician	35.038342	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194717454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN CHARLES ANDREOZZI MD

Provider Business Mailing Address
First Line	:	3325 SUMSER ST NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7954
Country	:	US
Telephone Number	:	330-499-7219
Fax Number	:	330-588-2216

Provider Business Practice Location Address
First Line	:	1680 NAVE RD SE FL 1
Second Line	:
City	:	MASSILLON
State	:	OH
Zip	:	44646-9604
Country	:	US
Telephone Number	:	330-830-3393
Fax Number	:	234-521-7091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	05/12/2026

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