Basic Information
| Provider Information | |||||||||
| NPI: | 1790746543 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CURRIER | ||||||||
| FirstName: | DAVID | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2600 SIXTH ST SW | ||||||||
| Address2: | OHIO HOSPITAL BASED PHYSICIANS CORP | ||||||||
| City: | CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303637462 | ||||||||
| FaxNumber: | 3303637679 | ||||||||
| Practice Location | |||||||||
| Address1: | 2600 SIXTH ST SW | ||||||||
| Address2: | OHIO HOSPITAL BASED PHYSICIANS CORP | ||||||||
| City: | CANTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44710 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3303637462 | ||||||||
| FaxNumber: | 3303637679 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2006 | ||||||||
| LastUpdateDate: | 06/06/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 35065486 | OH | Y | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | MD463607 | PA | N | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 2376772 | 05 | OH | MEDICAID |