Healthcare Provider Details

I. General information

NPI: 1083810329
Provider Name (Legal Business Name): NORTHERN OHIO EMERGENCY PHYSICIANS LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2007
Last Update Date: 01/20/2023
Certification Date: 01/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 AUSTIN AVE NW
MASSILLON OH
44646-3554
US

IV. Provider business mailing address

75 REMIT DRIVE SUITE 1522
CHICAGO IL
60675-1522
US

V. Phone/Fax

Practice location:
  • Phone: 330-837-7200
  • Fax: 239-939-1682
Mailing address:
  • Phone: 800-701-3381
  • Fax: 239-939-1682

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: JAMES M JOHNSON
Title or Position: LLP MANAGING PARTNER
Credential: MD
Phone: 800-253-5358