SOUTH MAIN STREET MEDICAL CENTER
NPI 1194058446
Internal Medicine in Uniontown, OH

Active since September 17, 2009CLIA Certified · 2 labs
1640 CORPORATE WOODS CIR, UNIONTOWN, OH 44685(330) 899-9350(330) 899-9395 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About South Main Street Medical Center NPPES

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

SOUTH MAIN STREET MEDICAL CENTER (NPI 1194058446) is a healthcare organization registered as an internal medicine in Uniontown, Ohio and active in the NPI registry since September 2009. The organization holds 2 active CLIA laboratory certificates and lists Kathleen M Kostelnick, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1194058446
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePIONEER PHYSICIANS NETWORK, INC.
Location Address1640 CORPORATE WOODS CIRUniontown, OH 44685-7819
Mailing Address4880 S Main St, Ste 4Akron, OH 44319-4474 · (330) 923-2700 · Fax (330) 634-1329
Fax(330) 899-9395
Organization SubpartYes
Authorized OfficialKathleen M KostelnickPractice Administrator · (330) 899-9350
Enumeration DateSeptember 17, 2009
Last NPPES UpdateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
NPI 1194058446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1640 CORPORATE WOODS CIR, Uniontown, OH 44685

Other Names 1

Other NameSouth Main Street Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0725683

South Main St Medical Center · Akron, OH
Active · expires Aug 31, 2026
CLIA Number36D0725683
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTodd Lisy
Laboratory Phone(234) 271-3353
Laboratory LocationSouth Main St Medical Center4880 South Main St Suite 4, Akron, OH 44319
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2124827

Pioneer Physicians Network/Springside Internal Medicine · Fairlawn, OH
Active · expires Jan 25, 2027
CLIA Number36D2124827
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2025
Certificate Expiration DateJanuary 25, 2027
Laboratory DirectorJeffrey Eckman
Laboratory Phone(330) 899-9350
Laboratory LocationPioneer Physicians Network/Springside Internal Medicine150 Springside Drive Suite C-320, Fairlawn, OH 44333
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pioneer Physicians Network, Inc.'s NPI number?

The NPI number for Pioneer Physicians Network, Inc. is 1194058446. It was assigned to this organization in the NPPES registry on September 17, 2009. The provider is also known as South Main Street Medical Center.

Where is Pioneer Physicians Network, Inc. located?

Pioneer Physicians Network, Inc. is located at 1640 Corporate Woods Cir, Uniontown, OH 44685. The listed phone number is (330) 899-9350.

What is Pioneer Physicians Network, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Pioneer Physicians Network, Inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Pioneer Physicians Network, Inc. was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.