MARILYN J PERKOWSKI (NPI# 1205851490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205851490 |
| Entity Type | Individual |
| Full Name | MARILYN J PERKOWSKI |
| Credential | CNP |
| Practice Address |
2037 Wales Ave Nw Suite 130 Massillon OH 44646 |
| Practice Telephone | 3308309378 |
| Practice Fax Number | 3308301534 |
| Mailing Telephone | 3308309378 |
| Mailing Fax Number | 3308301534 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2010-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN135276 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RRMC | CC3678 | 01 |
| OH | RRMC | CF7408 | 01 |
| OH | 2314061 | 05 | |
| OH | RRMC | CN1167 | 01 |
| OH | RRMC | 500019409 | 01 |
| Street Address |
2037 WALES AVE NW SUITE 130 |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821494907 | Amanda S Mcdade | Registered Nurse | 2037 Wales Ave Nw, Suite 130, Massillon, OH 44646-4185 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353183 | Brent Grass | Nurse Practitioner | 6724 Wales Ave Nw, Massillon, OH 44646-9006 | 2020-07-08 |
| 1568019750 | Krista Mast | Nurse Practitioner | 6724 Wales Ave Nw, Massillon, OH 44646-9006 | 2019-08-22 |
| 1518349380 | Carly M. Appleman | Nurse Practitioner | 6724 Wales Ave Nw, Massillon, OH 44646-9006 | 2015-06-29 |
| 1629471784 | Mariah Rue | Nurse Practitioner | 7337 Caritas Cir Nw, Suite 150, Massillon, OH 44646-9126 | 2014-10-03 |
| 1265848535 | Stephanie Ann Devault | Nurse Practitioner | 323 Marion Ave Nw, Massillon, OH 44646-3639 | 2014-07-08 |
| 1710260518 | Karla A Schultz | Nurse Practitioner | 323 Marion Ave Nw, Massillon, OH 44646-3639 | 2011-09-28 |
| 1376588319 | Louise Dapoz | Nurse Practitioner | 2051 Wales Ave Nw, Massillon, OH 44646-2393 | 2006-06-16 |
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|---|---|---|---|---|
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| 1598362402 | Kate Suzanne Mccombs | Nurse Practitioner | 6681 Ridge Rd Ste 30, Parma, OH 44129-5705 | 2020-10-04 |
| 1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
| 1659982494 | Lauren Rainey | Nurse Practitioner | 70 N Hillside Rd, Canfield, OH 44406-1335 | 2020-08-14 |
| 1932710928 | Bobbie Duda | Nurse Practitioner | 6454 Paine Rd, Painesville, OH 44077-9318 | 2020-08-12 |
| 1235756461 | Sara Mauk | Nurse Practitioner | 6780 Mayfield Rd Rm 323, Mayfield Heights, OH 44124-2203 | 2020-07-04 |
| 1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
| 1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
| 1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
| 1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
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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.