| 201 Medicine, Inc. | |
|
2600 Sixth St Sw Rm H2-672 Canton OH 44710-1702 | |
| (330) 363-6087 | |
| Not Available |
| Full Name | 201 Medicine, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2600 Sixth St Sw, Canton, Ohio |
| Authorized Official Name and Position | Robert W Sabota (PRESIDENT) |
| Authorized Official Contact | 3303636087 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 201 Medicine, Inc. 2600 Sixth St Sw Rm H2-672 Canton OH 44710-1702 Ph: (330) 363-6087 | 201 Medicine, Inc. 2600 Sixth St Sw Rm H2-672 Canton OH 44710-1702 Ph: (330) 363-6087 |
| NPI Number | 1891803169 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 01/11/2017 |
| Medicare PECOS PAC ID | 5294743027 |
|---|---|
| Medicare Enrollment ID | O20060405000089 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891803169 | NPI | - | NPPES |
| 2107428 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James Melvin Rajan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922047067 PECOS PAC ID: 9830192160 Enrollment ID: I20060807000100 |
| Provider Name | Robert W Sabota |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497736029 PECOS PAC ID: 9537177365 Enrollment ID: I20100921000063 |
| Provider Name | April M Towner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316321854 PECOS PAC ID: 4486941572 Enrollment ID: I20160916001041 |
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