Provider Demographics
NPI:1275816688
Name:MICHAEL J OROS MD MBA LTD
Entity Type:Organization
Organization Name:MICHAEL J OROS MD MBA LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:OROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:330-913-7109
Mailing Address - Street 1:9701 CLEVELAND AVE NW STE 150
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-9834
Mailing Address - Country:US
Mailing Address - Phone:330-913-7109
Mailing Address - Fax:646-390-1330
Practice Address - Street 1:9701 CLEVELAND AVE NW STE 150
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-9834
Practice Address - Country:US
Practice Address - Phone:330-913-7109
Practice Address - Fax:330-913-7192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2021-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0943672084A0401X, 2084P0800X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0053067Medicaid
1720278914OtherINDIVIDUAL NPI