East Canton Medical Group

LBN: Hartville Internal Medicine Pa
East Canton Medical Group is an health care organization with primary practice located at 113 Cedar St S , East Canton OH 44730-1305. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Hartville Internal Medicine Pa can be contacted via phone (330) 488-0767, or through Khalil, Amin Youssef via phone (330) 877-9388.

Contact Information

Primary practice address
113 Cedar St S East Canton OH 44730-1305
Phone: (330) 488-0767
Fax: (330) 488-2907
Website:
Map and Directions
Authorized official contact:
Name: Khalil, Amin Youssef Doctor of Medicine (MD)
Phone: (330) 877-9388

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1033174024
LBN Legal business name Hartville Internal Medicine Pa
DBA Doing business as East Canton Medical Group
Authorized official Khalil, Amin Youssef Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 20th, 2006
Last updated May 2nd, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033174024 NPPES
Ohio MEDICAID 2621201

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