OrganizationActive
Healthspan Integrated Care
NPI 1073941803 · Internal Medicine Physician · North Canton, OH
Provider details
- NPI number
- 1073941803
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Nowiski, Cfo(513) 639-3722
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4914 Portage St Nw
North Canton, OH 44720-7249
Phone: (216) 265-8810
Fax: (216) 265-8890
Street-level locationGet directions
Mailing address
615 Elsinore Pl
Cincinnati, OH 45202-1459
Registry dates
- Enumerated
- 2013-10-14
- Last updated
- 2013-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.