Healthcare Provider Details

I. General information

NPI: 1437381852
Provider Name (Legal Business Name): JOHN ADAM FIKE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2009
Last Update Date: 08/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8418 ARLINGTON AVE NW
NORTH CANTON OH
44720-5116
US

IV. Provider business mailing address

8418 ARLINGTON AVE NW
NORTH CANTON OH
44720-5116
US

V. Phone/Fax

Practice location:
  • Phone: 330-854-3267
  • Fax: 330-854-1129
Mailing address:
  • Phone: 330-854-3267
  • Fax: 330-854-1129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35 029422
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: