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INDIVIDUAL
NPI 1720537780
Preferred Provider Organization in Canton, OH

Active since September 30, 2016
1111 GONDER AVENUE SE, CANTON, OH 44707(330) 209-0732 Get Directions Write a Review

NPPES record last updated: September 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Individual NPPES

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

INDIVIDUAL (NPI 1720537780) is a healthcare organization registered as a preferred provider organization in Canton, Ohio and active in the NPI registry since September 2016. The organization lists Tammie Lynn Mayle, Home Health Aid, as its authorized official.

NPPES Registry Identity

NPI1720537780
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameINDIVIDUAL
Location Address1111 GONDER AVENUE SECanton, OH 44707
Mailing Address1111 Gonder Ave SeCanton, OH 44707-3321 · (330) 209-0732
Phone(330) 209-0732
Organization SubpartNo
Authorized OfficialTammie Lynn MayleHome Health Aid · (330) 209-0732
Enumeration DateSeptember 30, 2016
✔ NPI 1720537780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1111 GONDER AVENUE SE, Canton, OH 44707
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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 Individual's NPI number?

The NPI number for Individual is 1720537780. It was assigned to this organization in the NPPES registry on September 30, 2016.

Where is Individual located?

Individual is located at 1111 Gonder Avenue SE, Canton, OH 44707. The listed phone number is (330) 209-0732.

What is Individual's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Individual was last updated on September 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.