MR. JOHN BRIAN ARCHER (NPI# 1053782946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053782946 |
| Entity Type | Individual |
| Full Name | MR. JOHN BRIAN ARCHER |
| Credential | PA-C |
| Practice Address |
6847 N Chestnut St Ravenna OH 44266-3929 |
| Mailing Address |
4949 W 227th St Fairview Park OH 44126-2412 |
| Practice Telephone | 3302972850 |
| Mailing Telephone | 4402414313 |
| Enumeration Date | 2015-10-17 |
| Last Update Date | 2015-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 50.004486 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.004486 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366986333 | John Patrick Archer | Social Worker | 1084 Via Verde, Cathedral City, CA 92234-4366 | 2016-12-11 |
| 1245494947 | John Patrick Archer | Chiropractor | 40020 Nw Banks Rd, Banks, OR 97106-8500 | 2008-07-11 |
| 1588878755 | John Matthew Archer | Chiropractor | 707 Zion St, Suite A, Nevada City, CA 95959-2932 | 2007-05-09 |
| 1851309280 | John Michael Archer | Dentist | 1900 Coulter Road, Suite G, Amarillo, TX 79107-1732 | 2006-08-03 |
| 1861847469 | John Matthew Archer | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2016-05-02 |
| 1568565034 | John T Archer | Optometrist | 1222 Ridgewood Dr, Bowling Green, OH 43402-2664 | 2006-09-07 |
| 1962412544 | John H Archer | Anesthesiology | 3601 A St, Dept. Anesthesiology, St. Christopher's Hospital, Philadelphia, PA 19134-1043 | 2006-08-08 |
| 1346260304 | John Archer | Dentist | 10914 Hefner Pointe Dr, Suite 300, Oklahoma City, OK 73120-5066 | 2006-07-20 |
| Street Address |
6847 N CHESTNUT ST |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-3929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720078306 | Stephanie J Teodosio | Occupational Therapist | 6847 N Chestnut St, Suite 100, Ravenna, OH 44266-3929 | 2005-10-25 |
| 1356949010 | Kimberly Sue Neubig | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-10-15 |
| 1467059956 | Korena L Mulloy | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-10-07 |
| 1104439553 | Temitope A Adeleke | Nurse Practitioner | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-08-26 |
| 1811505175 | Lindsay Hall | Pharmacist | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-07-22 |
| 1568089175 | James Ferrell | Pharmacist | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-30 |
| 1437774544 | Glen Robert Williams Jr. | Registered Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-15 |
| 1497379408 | Lauren R Lewis | Nurse Practitioner | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-04 |
| 1780208140 | Alexis Hughley | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-06-02 |
| 1811511488 | Carrie Reedy | Licensed Practical Nurse | 6847 N Chestnut St, Ravenna, OH 44266-3929 | 2020-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618428 | Stephanie Ann Keener | Physician Assistant | 7774 Hythe Cir, Centerville, OH 45459-8705 | 2020-10-27 |
| 1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
| 1326647512 | Junell Rutledge | Physician Assistant | 644 High St, Youngstown, OH 44502-1562 | 2020-10-20 |
| 1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
| 1982218186 | Morgan Holmes | Physician Assistant | 65 Community Rd Ste F, Tallmadge, OH 44278-2358 | 2020-09-04 |
| 1902456023 | Kara Meyer | Physician Assistant | 2417 Derbyshire Ct, Cleveland Heights, OH 44106-2778 | 2019-09-19 |
| 1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
| 1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
| 1811549462 | Abigail Malsch | Physician Assistant | 2376 Fenwood Rd, University Heights, OH 44118-3804 | 2019-07-14 |
| 1164087466 | Jessica Lee Schulte | Physician Assistant | 1110 West Main Cross St., Findlay, OH 45840-2423 | 2019-05-02 |
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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.