| Atlantic Medical Group | |
|
2223 Fulton Rd Nw Ste 102 Canton OH 44709-3554 | |
| (330) 456-3487 | |
| (330) 456-3895 |
| Full Name | Atlantic Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 2223 Fulton Rd Nw Ste 102, Canton, Ohio |
| Authorized Official Name and Position | Michelle Victoria Smith (OFFICE MANAGER) |
| Authorized Official Contact | 3304563487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Medical Group 3501 Lesh St Ne Canton OH 44705-4376 Ph: (330) 456-3487 | Atlantic Medical Group 2223 Fulton Rd Nw Ste 102 Canton OH 44709-3554 Ph: (330) 456-3487 |
| NPI Number | 1770968943 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 04/17/2025 |
| Medicare PECOS PAC ID | 0749564557 |
|---|---|
| Medicare Enrollment ID | O20170222002125 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770968943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Anup Dev T Salgia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295703569 PECOS PAC ID: 3870487846 Enrollment ID: I20040211000014 |
| Provider Name | John N Pinghero |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104081280 PECOS PAC ID: 9234212200 Enrollment ID: I20120220000145 |
| Provider Name | Larry Whetsell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588150882 PECOS PAC ID: 5597013581 Enrollment ID: I20180808000467 |
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