Healthcare Provider Details

I. General information

NPI: 1376710608
Provider Name (Legal Business Name): NPCS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2008
Last Update Date: 10/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 5TH ST. NE SUITE 15
BARBERTON OH
44203
US

IV. Provider business mailing address

95 ARCH ST SUITE 210
AKRON OH
44304-1437
US

V. Phone/Fax

Practice location:
  • Phone: 330-753-6161
  • Fax: 330-753-5508
Mailing address:
  • Phone: 330-253-1411
  • Fax: 330-253-5260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: CHARLES R FUENNING
Title or Position: PRESIDENT
Credential: M.D,
Phone: 330-253-1411