TIMOTHY BYRON MACEYKO (NPI# 1154779783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154779783 |
| Entity Type | Individual |
| Full Name | TIMOTHY BYRON MACEYKO |
| Credential | LCDCII |
| Practice Address |
264 S Main St Marion OH 43302-3933 |
| Practice Telephone | 7409145025 |
| Practice Fax Number | 7409145030 |
| Mailing Telephone | 7409145025 |
| Mailing Fax Number | 7409145030 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2020-02-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDCII.161582 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 320 Executive Dr, Marion, OH 433026310 | 7403875210 |
| Street Address |
264 S MAIN ST |
| City | MARION |
| State | OH |
| Zip Code | 43302-3933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437127628 | Jessica Kaufman | Social Worker | 264 S Main St, Marion, OH 43302-3933 | 2006-03-14 |
| 1497171615 | Joliet Redmond | Counselor | 264 S Main St, Marion, OH 43302-3933 | 2014-03-12 |
| 1225463342 | Pamela Irene Conner | Counselor | 264 S Main St, Marion, OH 43302-3933 | 2013-09-09 |
| 1467886085 | Hannah Walker | Social Worker | 264 S Main St, Marion, OH 43302-3933 | 2013-08-30 |
| 1376848093 | Daniel Ward Counseling Group LLC | Counselor | 264 S Main St, Marion, OH 43302-3933 | 2011-01-12 |
| 1114134137 | Teresa Holt Gilmore | Social Worker | 264 S Main St, Marion, OH 43302-3933 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121778 | Ashley Jade Kirby | Counselor | 1581 Marion Waldo Rd # 710, Marion, OH 43302-7423 | 2020-07-20 |
| 1104452333 | Patrick Travis Woodruff | Counselor | 246a S Main St, Marion, NC 28752-4551 | 2020-03-19 |
| 1982245874 | John Robert Searfoss Sr. | Counselor | 314 S Norton Ave., Marion, IN 46952 | 2019-10-02 |
| 1508411026 | Tristan Wayne Killian | Counselor | 356 Beaver Creek Rd, Marion, NC 28752-9081 | 2019-08-02 |
| 1487214854 | Jennifer Marie Kositzky | Counselor | 151 Marion Blvd, Marion, IA 52302-3135 | 2019-06-18 |
| 1639667611 | Skylette V Jackson | Counselor | 28879 Hudson Corner Rd, Marion, MD 21838-2105 | 2018-04-25 |
| 1548767767 | Johnnie Micheal Hiles | Counselor | 315 South Norton Ave., Marion, IN 46952 | 2018-04-13 |
| 1023515392 | Robbie S Mccain-ficklin | Counselor | 315 S Norton St, Marion, IN 46952-3296 | 2018-04-12 |
| 1669979936 | Sheila Ann Johnson | Counselor | 315 S. Norton Ave, Marion, IN 46952 | 2018-04-12 |
| 1679070957 | Marissa Lynn Castillo | Counselor | 315 S Norton Avenue, Marion, IN 46952 | 2018-04-12 |
| Find all providers in MARION | ||||
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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.