Healthcare Provider Details

I. General information

NPI: 1720278914
Provider Name (Legal Business Name): MICHAEL J OROS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/25/2007
Last Update Date: 10/17/2021
Certification Date: 10/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9701 CLEVELAND AVE NW STE 150
NORTH CANTON OH
44720
US

IV. Provider business mailing address

9701 CLEVELAND AVE NW STE 150
NORTH CANTON OH
44720
US

V. Phone/Fax

Practice location:
  • Phone: 330-913-7109
  • Fax: 330-913-7192
Mailing address:
  • Phone: 330-913-7109
  • Fax: 330-913-7192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number35.094367
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number35.094367
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number35.094367
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number35.094367
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: