AULTMAN DEUBLE HEART & VASCULAR HOSPITAL, LLC (NPI# 1306495718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306495718 |
| Entity Type | Organization |
| Organization Name | AULTMAN DEUBLE HEART & VASCULAR HOSPITAL, LLC |
| Practice Address |
2600 Sixth St Sw Canton OH 44710-1702 |
| Mailing Address |
Po Box 80690 Canton OH 44708-0690 |
| Practice Telephone | 3304548076 |
| Mailing Telephone | 3303637444 |
| Mailing Fax Number | 3303637770 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-18 |
| Authorized Official Name | AKBAR SHAH (PRESIDENT) |
| Authorized Official Telephone | 3304548076 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
2600 SIXTH ST SW |
| City | CANTON |
| State | OH |
| Zip Code | 44710-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619258 | Roberto Novoa | Specialist | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2005-06-15 |
| 1730788647 | Gwendolyn Shumaker | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-10-21 |
| 1023633088 | Harry Garrett Oldland | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-06-15 |
| 1063036754 | Mena Habib Morcos | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-29 |
| 1649891185 | Kathy Jane Minger | Registered Nurse | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-06 |
| 1376164186 | Abigail Chauvin | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-04 |
| 1285254508 | Erik Keim | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1568082881 | Samantha Patterson | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1104446327 | Varun Rakesh Ravindran | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1306466537 | Brittany Gast | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219024 | Philip Anthony Femano IIi | Student in an Organized Health Care Education/Training Program | Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 | 2018-03-23 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1770032146 | Tammy Lamotte | Registered Nurse | 3302 11th St Sw, Canton, OH 44710 | 2016-09-27 |
| 1861898280 | Heather Nicole Burrier | Registered Nurse | 2823 9th St. Sw, Cedar School, Canton, OH 44710 | 2014-11-12 |
| 1437569688 | Kameika Thomas | Licensed Practical Nurse | 2704 9th St Sw, Canton, OH 44710 | 2014-04-28 |
| 1578836672 | Julie J Marsh | Dietitian, Registered | Aultman Hospital, 2600 Sixth Street Sw, Canton, OH 44710 | 2012-02-21 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
| 1013012897 | Daniel Wasdahl | Pathology | 2600 6th St, Canton, OH 44710 | 2006-09-14 |
| Find all providers in zip 44710 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982168100 | Optimum Cardiology Inc | Internal Medicine | 4825 Higbee Ave Nw Ste 102, Canton, OH 44718-2567 | 2019-01-23 |
| 1861716508 | Premier Diagnostics PC | Internal Medicine | 48492 Inveraray Rd, Canton, MI 48188 | 2010-03-24 |
| 1477593572 | Daniel Andrew Pietro | Internal Medicine | 19 Hunter Ln, Canton, MA 02021-1731 | 2006-06-07 |
| 1114997822 | Mohamad Hikmat Kabbani | Internal Medicine | 2050 N Haggerty Rd Ste 200, Canton, MI 48187-3796 | 2006-01-25 |
| 1548269756 | David J. Utlak | Internal Medicine | 4455 Dressler Rd Nw, Canton, OH 44718-2769 | 2005-07-19 |
| 1487653986 | Stephen W Pipoly | Internal Medicine | 1330 Mercy Drive Nw, Suite 410, Canton, OH 44708 | 2005-07-18 |
| 1154329928 | Kirk B Laman | Internal Medicine | 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-5257 | 2005-07-14 |
| 1205126851 | Anjan Deka | Internal Medicine | 460 Northside Cherokee Blvd Ste 190, Canton, GA 30115-8018 | 2011-04-17 |
| 1306086228 | Kennestone Heart Physicians Group | Internal Medicine | 200 Oakside Ln, Suite D, Canton, GA 30114-6416 | 2009-03-05 |
| 1184864258 | Kennestone Heart Physicians Group, PC | Internal Medicine | 720 Transit Ave, Building 100, Suite 102, Canton, GA 30114-2540 | 2009-03-02 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.