Healthcare Provider Details

I. General information

NPI: 1295713964
Provider Name (Legal Business Name): FALLS EMERGENCY PHYSICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 23RD ST
CUYAHOGA FALLS OH
44223-1404
US

IV. Provider business mailing address

PO BOX 670
NORTH OLMSTED OH
44070-0670
US

V. Phone/Fax

Practice location:
  • Phone: 330-971-7436
  • Fax: 330-971-7344
Mailing address:
  • Phone: 440-777-6017
  • Fax: 440-777-6940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH NIENALTOWSKI
Title or Position: PRESIDENT
Credential: D.O.
Phone: 330-971-7436