Healthcare Provider Details

I. General information

NPI: 1962949438
Provider Name (Legal Business Name): SUMMIT COUNTY MEDICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2017
Last Update Date: 01/23/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 WEST AVE SUITE 1
TALLMADGE OH
44278-2250
US

IV. Provider business mailing address

145 WEST AVE SUITE 1
TALLMADGE OH
44278-2250
US

V. Phone/Fax

Practice location:
  • Phone: 330-633-8341
  • Fax: 330-633-8462
Mailing address:
  • Phone: 330-633-8341
  • Fax: 330-633-8462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number34006905
License Number StateOH

VIII. Authorized Official

Name: DR. THOMAS J SCHMEISER
Title or Position: PRESIDENT
Credential: D.O.
Phone: 330-633-8341