PHILLIP ARTHUR II IMMESOETE (MD) – Neurological Surgery Physician, NPI 1609089317
Neurological Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
342 NEUROSURGERY in OH
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Provider Addresses for PHILLIP ARTHUR II IMMESOETE (MD)
2600, Tuscarawas Street West, Lincoln Heights, Canton, Stark County, Ohio, 44708, United States
SUITE 440
CANTON, OH 447084644
Phone: (330) 452-3266
Type: Mailing
770 W HIGH ST STE 160
LIMA, OH 458015900
Phone: (419) 995-4960
Type: Mailing
335 Glessner Ave Fl Mob2
Mansfield, OH 449032269
Phone: (567) 241-7700
Fax: (567) 241-7719
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-02-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240208004420 | I | Neurosurgery | OH | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44708)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Rheumatology, Internal Medicine | OH | |
| Sleep Medicine | OH | |
| Nurse Practitioner | OH | |
| Hematology/Oncology, Internal Medicine | OH | |
| N E U R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | OH | |
| Radiation Oncology | NY | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | MO | |
| Nurse Practitioner | OH |
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