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PORTAGE FAMILY PRACTICE CLINIC, INC.
NPI 1083767677
Clinic/Center in North Canton, OH

Active since January 19, 2007
1413 PORTAGE ST NW, NORTH CANTON, OH 44720(330) 499-7591(330) 499-0308 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portage Family Practice Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTAGE FAMILY PRACTICE CLINIC, INC. (NPI 1083767677) is a healthcare organization registered as a clinic/center in North Canton, Ohio and active in the NPI registry since January 2007. The organization lists Leonard D Tamburro, President, as its authorized official.

NPPES Registry Identity

NPI1083767677
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePORTAGE FAMILY PRACTICE CLINIC, INC.
Location Address1413 PORTAGE ST NWNorth Canton, OH 44720-2288
Mailing Address1413 Portage St NwNorth Canton, OH 44720-2288 · (330) 499-7591 · Fax (330) 499-0308
Phone(330) 499-7591
Fax(330) 499-0308
Organization SubpartNo
Authorized OfficialLeonard D TamburroPresident · (330) 499-7591
Enumeration DateJanuary 19, 2007
Last NPPES UpdateOctober 25, 2011
✔ NPI 1083767677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in OH · 34003002
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1413 PORTAGE ST NW, North Canton, OH 44720
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Other Identifiers 3

Other=========00OH · Workers Compensation
Medicaid0507268OH
Medicare ID-Type UnspecifiedPO9268521OH · Group

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY FORADIS FNP
Nurse Practitioner (Family)
1413 PORTAGE ST NW
NORTH CANTON, OH 44720
Stark County (330) 499-7591
CLEVELAND CLINIC MERCY HOSPITAL
General Practice
1413 PORTAGE ST NW
NORTH CANTON, OH 44720
Stark County (330) 489-1362
GARVIN JIAN MD
Family Medicine
1413 PORTAGE ST NW
NORTH CANTON, OH 44720
Stark County (330) 499-7591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Portage Family Practice Clinic, Inc.'s NPI number?

The NPI number for Portage Family Practice Clinic, Inc. is 1083767677. It was assigned to this organization in the NPPES registry on January 19, 2007.

Where is Portage Family Practice Clinic, Inc. located?

Portage Family Practice Clinic, Inc. is located at 1413 Portage St NW, North Canton, OH 44720. The listed phone number is (330) 499-7591.

What is Portage Family Practice Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Portage Family Practice Clinic, Inc. was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.