HEALTHSPAN INTEGRATED CARE (NPI# 1073941803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073941803 |
| Entity Type | Organization |
| Organization Name | HEALTHSPAN INTEGRATED CARE |
| Practice Address |
4914 Portage St Nw North Canton OH 44720-7249 |
| Mailing Address |
615 Elsinore Pl Cincinnati OH 45202-1459 |
| Practice Telephone | 2162658810 |
| Practice Fax Number | 2162658890 |
| Mailing Telephone | 5136392722 |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |
| Authorized Official Name | MR. DAVID A NOWISKI (CFO) |
| Authorized Official Telephone | 5136393722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700213592 | Healthspan Integrated Care | Pediatrics | 19999 Rockside Rd, Bedford, OH 44146-2074 | 2013-10-11 |
| 1659708444 | Healthspan Integrated Care | Pediatrics | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2013-10-11 |
| 1962839753 | Healthspan Integrated Care | Obstetrics & Gynecology | 1260 Independence Ave, Akron, OH 44310-1812 | 2013-10-11 |
| 1740617539 | Healthspan Integrated Care | Emergency Medicine | 12301 Snow Rd, Cleveland, OH 44130-1002 | 2013-10-11 |
| 1457788234 | Healthspan Integrated Care | Pediatrics | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2013-10-11 |
| 1285061069 | Healthspan Integrated Care | Pediatrics | 3443 Medina Rd, Suite 108, Medina, OH 44256-5360 | 2013-10-11 |
| 1164859948 | Healthspan Integrated Care | Pediatrics | 2500 State Route 59, Suite 28, Kent, OH 44240-7105 | 2013-10-11 |
| 1073940854 | Healthspan Integrated Care | Pediatrics | 7536 Fredle Dr, Concord Twp, OH 44077-9406 | 2013-10-11 |
| 1871920660 | Healthspan Integrated Care | Emergency Medicine | 10 Severance Cir, Cleveland Hts, OH 44118-1533 | 2013-10-11 |
| 1649607433 | Healthspan Integrated Care | Pediatrics | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2013-10-11 |
| Street Address |
4914 PORTAGE ST NW |
| City | NORTH CANTON |
| State | OH |
| Zip Code | 44720-7249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770766420 | Lisa M Sheets | Nurse Practitioner | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2007-12-17 |
| 1568874949 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2014-05-20 |
| 1942583646 | Ohio Permanente Medical Group | Family Medicine | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351251 | Mark Allan Joki | Counselor | 1303 W. Maple St., Suite 103, North Canton, OH 44720 | 2018-10-11 |
| 1700305794 | Alexis Katherine Hundley | Specialist/Technologist | 1378 Devon Drive, North Canton, OH 44720 | 2017-09-12 |
| 1376060780 | Universal Impex Inc. | Day Training, Developmentally Disabled Services | 6868 Farmcrest Cir Nw., North Canton, OH 44720 | 2017-08-25 |
| 1083066203 | Wendy Barnett | Registered Nurse | 8722 Grimes Ave Nw, North Canton, OH 44720 | 2016-07-12 |
| 1336590389 | Amanda L Cockerell | Occupational Therapy Assistant | 330 E Maple St, North Canton, OH 44720 | 2016-06-30 |
| 1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
| 1467816124 | Jami Lynn Fisher | Occupational Therapist | 6057 Strip Avenue Nw, North Canton, OH 44720 | 2016-04-08 |
| 1801255427 | Steven R Fricke | Psychologist | 239 Portage St. Ne, North Canton, OH 44720 | 2016-02-11 |
| 1396124814 | Burkins Ritchie & Assco LLC | Counselor | 1206 N. Main St, North Canton, OH 44720 | 2015-05-29 |
| 1073992590 | Max Dean Burkins | Counselor | 1206 N. Main St., North Canton, OH 44720 | 2015-05-29 |
| Find all providers in zip 44720 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1720609217 | Willglowe Health Services, Inc | Internal Medicine | 2201 E Maple St, North Canton, OH 44720-9997 | 2020-05-06 |
| 1437381852 | John Adam Fike | Internal Medicine | 8418 Arlington Ave Nw, North Canton, OH 44720-5116 | 2009-08-18 |
| 1306090154 | Joseph F. Marino | Internal Medicine | 7300 Whipple Ave N.w., Suite 6, North Canton, OH 44720 | 2008-11-06 |
| 1770688053 | Ek Norch Inc | Internal Medicine | 6447 Frank Rd Nw, North Canton, OH 44720 | 2006-09-13 |
| 1851409189 | Kun Woo Nam | Internal Medicine | 1441 S Main St, North Canton, OH 44720-4245 | 2006-08-28 |
| 1114944600 | Julie Lynn Oberly | Internal Medicine | 1401 South Main Street, Suite 101, North Canton, OH 44720 | 2006-07-17 |
| 1154695815 | Stark County Physicians LLC | Internal Medicine | 1441 S Main St, North Canton, OH 44720-4245 | 2012-02-28 |
| 1346428687 | Richard Newton Kepple | Internal Medicine | 7300 Whipple Ave Nw, Suite 6, North Canton, OH 44720 | 2008-02-08 |
| 1083892525 | Stark County Internal Medicine Inc | Internal Medicine | 1401 S Main St, Suite 101, North Canton, OH 44720-4289 | 2008-02-06 |
| 1235342726 | Farzana Malik | Internal Medicine | 2527 Macnaughten St Nw, North Canton, OH 44720 | 2007-05-08 |
| Find all providers in NORTH CANTON | ||||
| City | NORTH CANTON |
| Zip Code | 44720 |
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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.