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NPI Code Detail

MEDICARE: DR. CHARLES PATRICK SAMMARONE JR. D.O.

MEDICARE: DR. CHARLES PATRICK SAMMARONE JR. D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34.006563OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184617300
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES PATRICK SAMMARONE JR. D.O.
Provider Business Mailing Address
First Line : 730 N MAIN ST
Second Line :
City : HUBBARD
State : OH
Zip : 44425-1126
Country : US
Telephone Number : 330-534-1959
Fax Number : 330-534-2206
Provider Business Practice Location Address
First Line : 730 N MAIN ST
Second Line :
City : HUBBARD
State : OH
Zip : 44425-1126
Country : US
Telephone Number : 330-534-1959
Fax Number : 330-534-2206
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 02/11/2026

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