MIRANDA ELIZABETH ROSE (NPI# 1215357991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215357991 |
| Entity Type | Individual |
| Full Name | MIRANDA ELIZABETH ROSE |
| Credential | M.D. |
| Practice Address |
4860 Frank Ave Nw North Canton OH 44720-7426 |
| Mailing Address |
2600 Sixth St Sw Canton OH 44710-1702 |
| Practice Telephone | 3304947099 |
| Practice Fax Number | 3304947099 |
| Mailing Telephone | 3303632319 |
| Mailing Fax Number | 3305805509 |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35129488 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | H609640 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2600 Sixth St Sw, Canton, OH 447101702 | 3303632319 | 3305805509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336554146 | Miranda Rose | Counselor | 1100 W 6th Ave, Gary, IN 46402-1711 | 2014-07-01 |
| Street Address |
4860 FRANK AVE NW |
| City | NORTH CANTON |
| State | OH |
| Zip Code | 44720-7426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609435478 | Jon Eric Manson | Nurse Practitioner | 4860 Frank Ave Nw, North Canton, OH 44720-7426 | 2019-06-06 |
| 1083008874 | Kyle Christopher Farley | Family Medicine | 4860 Frank Ave Nw, North Canton, OH 44720-7426 | 2015-03-19 |
| 1437551405 | Jyl Henry | Nurse Practitioner | 4860 Frank Ave Nw, North Canton, OH 44720-7426 | 2014-09-22 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578950200 | Virginia Kate Regula | Family Medicine | Mercy Primary Care-north Canton, 1413 Portage St Nw, North Canton, OH 44720 | 2015-04-21 |
| 1306069075 | Paul Streiner Donaldson | Family Medicine | 6225 Frank Ave Nw, North Canton, OH 44720-8439 | 2007-04-11 |
| 1871622126 | Suzanne Renae Morgan | Family Medicine | 5399 Lauby Rd Ste 220, North Canton, OH 44720-1590 | 2007-03-04 |
| 1679681282 | Dianne Kreptowski | Family Medicine | 6509 Frank Ave Nw, North Canton, OH 44720-7265 | 2006-08-25 |
| 1538119326 | Stanley R Anderson | Family Medicine | 7072 Mears Gate Drive, North Canton, OH 44720-8850 | 2006-05-11 |
| 1841249604 | David Mallamaci | Family Medicine | 7072 Mears Gate Dr. Nw, North Canton, OH 44720-8850 | 2006-05-09 |
| 1720042534 | Kathy Haupt | Family Medicine | 6512 Whipple Ave Nw, North Canton, OH 44720-7340 | 2006-04-17 |
| 1295709673 | Thomas A Shemory | Family Medicine | 4860 Frank Rd Nw, North Canton, OH 44720-7426 | 2006-02-14 |
| 1790774842 | Leonard D Tamburro | Family Medicine | 1413 Portage St Nw, North Canton, OH 44720-2288 | 2005-10-20 |
| 1639163330 | Richard Mark Weil | Family Medicine | 133 Wilbur Dr Ne, North Canton, OH 44720-1641 | 2005-09-08 |
| Find all providers in NORTH CANTON | ||||
| City | NORTH CANTON |
| Zip Code | 44720 |
Please comment or provide details below to improve the information on MIRANDA ELIZABETH ROSE.
| 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.