| Astute Medical Associates Inc | |
|
2425 13th St Nw Canton OH 44708-3116 | |
| (330) 455-5595 | |
| (330) 455-5598 |
| Full Name | Astute Medical Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2425 13th St Nw, Canton, Ohio |
| Authorized Official Name and Position | Mike Crocker (SECRETARY-TREASURER) |
| Authorized Official Contact | 3304555595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Astute Medical Associates Inc 2425 13th St Nw Canton OH 44708-3116 Ph: (330) 455-5595 | Astute Medical Associates Inc 2425 13th St Nw Canton OH 44708-3116 Ph: (330) 455-5595 |
| NPI Number | 1215984604 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567406945 |
|---|---|
| Medicare Enrollment ID | O20050616000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215984604 | NPI | - | NPPES |
| 0949326 | Medicaid | OH | |
| 1120817 | Other | OH | OHIO BWC NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942207634 PECOS PAC ID: 5890840862 Enrollment ID: I20100427000098 |
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