DR. ANGELO PEROULAKIS (NPI# 1215939640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215939640 |
| Entity Type | Individual |
| Full Name | DR. ANGELO PEROULAKIS |
| Practice Address |
6479 S Raccoon Rd Canfield OH 44406-9270 |
| Practice Telephone | 3305336327 |
| Practice Fax Number | 3305330425 |
| Mailing Telephone | 3305336327 |
| Mailing Fax Number | 3305330425 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2418 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM PROVIDER ID | 000000370053 | 01 |
| OH | 2021270 | 05 |
| Street Address |
6479 S RACCOON RD |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-9270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518272608 | Ohio Pain and Rehabilitation Center, LLC | Chiropractor | 6479 S Raccoon Rd, Canfield, OH 44406-9270 | 2010-08-12 |
| 1023244464 | Advantage Imaging, LLC | Radiology | 6479 S Raccoon Rd, Canfield, OH 44406-9270 | 2009-05-29 |
| 1942481221 | Amy Toth Dahl | Chiropractor | 6479 S Raccoon Rd, Canfield, OH 44406-9270 | 2007-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598315327 | Zachary Wurth | Chiropractor | 3940 W Calla Rd, Canfield, OH 44406-9119 | 2019-09-13 |
| 1619483005 | Red Lotus Services LLC | Chiropractor | 45 Manor Hill Dr Ste 300, Canfield, OH 44406-1538 | 2017-12-20 |
| 1861918377 | Rubosky Chiropractic & Wellness, LLC | Chiropractor | 4559 Boardman Canfield Rd Ste 840, Canfield, OH 44406-8229 | 2017-08-16 |
| 1356513881 | Marnie L Murphy | Chiropractor | 535 N Broad St, Ste 3, Canfield, OH 44406-8221 | 2008-03-25 |
| 1972676880 | Daniel S Dankovich | Chiropractor | 3660 Starr Centre Drive, #3, Canfield, OH 44406 | 2006-11-16 |
| 1386755635 | Janinne Marie Getsy | Chiropractor | 565 E Main St, Ste 100, Canfield, OH 44406 | 2006-08-31 |
| 1366425084 | Troy M Bury | Chiropractor | 4030 Boardman-canfield Rd, Ste 100c, Canfield, OH 44406 | 2005-11-28 |
| 1871583948 | Lisa M Provenza-tabak | Chiropractor | 3680 Starrs Centre Dr, Canfield, OH 44406-9514 | 2005-10-28 |
| 1518272608 | Ohio Pain and Rehabilitation Center, LLC | Chiropractor | 6479 S Raccoon Rd, Canfield, OH 44406-9270 | 2010-08-12 |
| 1043540081 | Alanna Erin Mcentire | Chiropractor | 3680 Starrs Centre Dr, Canfield, OH 44406-9514 | 2010-01-13 |
| Find all providers in CANFIELD | ||||
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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.