Provider Demographics
NPI:1346370624
Name:ASSOCIATES IN NEPHROLOGY
Entity Type:Organization
Organization Name:ASSOCIATES IN NEPHROLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-259-0440
Mailing Address - Street 1:970 WINDHAM CT. STE. 6A
Mailing Address - Street 2:
Mailing Address - City:BOARDMAN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-5082
Mailing Address - Country:US
Mailing Address - Phone:330-259-0440
Mailing Address - Fax:330-953-2640
Practice Address - Street 1:970 WINDHAM CT. STE. 6A
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-5082
Practice Address - Country:US
Practice Address - Phone:330-259-0440
Practice Address - Fax:330-953-2640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2513186Medicaid
OHAS9344821Medicare ID - Type UnspecifiedGROUP NUMBER MEDICARE