MARICOR DOCENA (NPI# 1053755389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053755389 |
| Entity Type | Individual |
| Full Name | MARICOR DOCENA |
| Practice Address |
55 Arch St 1b Akron OH 44304 |
| Mailing Address |
55 Arch St 1b Akron OH 44304-1423 |
| Practice Telephone | 3303753315 |
| Practice Fax Number | 3303757779 |
| Mailing Telephone | 3303753315 |
| Mailing Fax Number | 3303757779 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2018-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
34.013492 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Street Address |
55 ARCH ST 1B |
| City | AKRON |
| State | OH |
| Zip Code | 44304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871592980 | Leila Denise Moser | Nurse Practitioner | 55 Arch St, Akron, OH 44304-1423 | 2005-07-20 |
| 1962963892 | Thomas Keefe Wright | Student in an Organized Health Care Education/Training Program | 55 Arch St, Ste 1b, Akron, OH 44304 | 2019-03-25 |
| 1790280493 | Jeff Preston | Counselor | 55 Arch St, Akron, OH 44304-1423 | 2018-03-26 |
| 1972002202 | Brianna Deetz | Social Worker | 55 Arch St, Akron, OH 44304-1423 | 2018-02-01 |
| 1467986257 | Amir Yeganeh | Student in an Organized Health Care Education/Training Program | 55 Arch St, Suite 1b, Internal Medicine Center, Akron, OH 44304-1423 | 2017-04-18 |
| 1154855443 | Garen Wolff | Student in an Organized Health Care Education/Training Program | 55 Arch St, Suite 1b, Akron, OH 44304-1423 | 2017-04-13 |
| 1699208793 | Syed Rashdi Ahmed | Psychiatry & Neurology | 55 Arch St, Ste 1b, Akron, OH 44304-1423 | 2017-04-05 |
| 1154853182 | Myron Zhang | Student in an Organized Health Care Education/Training Program | 55 Arch St, Ste 1b, Akron, OH 44304-1423 | 2017-03-29 |
| 1811429095 | Michael William Graham | Student in an Organized Health Care Education/Training Program | 55 Arch St, Suite 1b, Akron, OH 44304-1423 | 2017-03-28 |
| 1912438474 | Jessa Marie Tunacao | Student in an Organized Health Care Education/Training Program | 55 Arch St, Summahealth/internal Medicine Suite 1b, Akron, OH 44304-1423 | 2017-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
| 1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
| 1871121889 | Haley Marie Coleman | Student in an Organized Health Care Education/Training Program | Summa Health/ Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-03-27 |
| 1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
| 1457918328 | Brandy Deem | Counselor | 87 N Forge St, Akron, OH 44304 | 2019-05-24 |
| 1184187445 | Zoe Nastasic Jones | Student in an Organized Health Care Education/Training Program | Summa Health 525 East Market St., Akron, OH 44304 | 2019-04-12 |
| 1780147751 | Nidhi Khullar | Student in an Organized Health Care Education/Training Program | Summa Health Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2019-04-08 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295061224 | Robert V. Hemphill | Internal Medicine | 1241 Briarhill Spur, Akron, OH 44333 | 2009-10-27 |
| 1427054550 | William Clement Wojno | Internal Medicine | 471 N Cleveland Massillon Rd, Akron, OH 44333-2426 | 2005-06-23 |
| 1366448482 | David Eugene Bacha | Internal Medicine | 471 N. Cleveland Massillon Rd., Akron, OH 44333 | 2005-06-23 |
| 1740809961 | Margaret A Pullin | Internal Medicine | 471 N Cleveland Massillon Rd, Akron, OH 44333-2426 | 2020-04-09 |
| 1073900080 | Megan Bielawski | Internal Medicine | 471 N Cleveland Massillon Rd, Akron, OH 44333-2426 | 2015-04-17 |
| 1467757237 | Partners Physician Group | Internal Medicine | 4125 Medina Rd, 200c, Akron, OH 44333-2483 | 2011-01-25 |
| 1457662769 | Summa Physicians Inc. | Internal Medicine | 75 Arch St, Suite 514, Akron, OH 44304-1429 | 2010-07-01 |
| 1013037530 | David P. Lang | Internal Medicine | 4125 Medina Rd, #200c, Akron, OH 44333-2483 | 2007-03-29 |
| 1962422030 | Johnny G Su | Internal Medicine | 471 N Cleveland Massillon Rd, Akron, OH 44333-2426 | 2006-07-20 |
| 1841247103 | Crystal Arthritis Center, Inc. | Internal Medicine | 471 N. Cleveland Massillon Rd., Akron, OH 44333 | 2006-05-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.