MERCY MEDICAL CENTER, INC. (NPI# 1225231103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225231103 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER, INC. |
| Other Organization Name | MERCY BOUTIQUE |
| Practice Address |
1320 Mercy Dr Nw Canton OH 44708-2614 |
| Practice Telephone | 3304569960 |
| Practice Fax Number | 3304569965 |
| Mailing Telephone | 3304569960 |
| Mailing Fax Number | 3304569965 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2013-05-22 |
| Authorized Official Name | MR. DAVID K. STEWART (SR VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 3304891131 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0298771 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Boutique | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215106133 | Mercy Medical Center, Inc. | Surgery | 2700 Nw Stewart Parkway, Roseburg, OR 97471 | 2008-02-25 |
| 1649208802 | Mercy Medical Center, Inc. | Hospice Care, Community Based | 2675 Nw Edenbower Blvd Ste 200, Roseburg, OR 97471-6201 | 2006-06-28 |
| 1609811181 | Mercy Medical Center, Inc. | Home Health | 2675 Nw Edenbower Blvd, Roseburg, OR 97471-6201 | 2006-06-18 |
| 1841241270 | Mercy Medical Center, Inc. | Home Health | 7568 Whipple Ave Nw, North Canton, OH 44720-6922 | 2006-05-12 |
| 1013450287 | Mercy Medical Center, Inc. | Surgery | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2016-11-21 |
| 1194155549 | Mercy Medical Center, Inc. | Clinic/Center | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2013-11-21 |
| 1306182332 | Mercy Medical Center, Inc. | General Acute Care Hospital | 1031 W High Ave, New Philadelphia, OH 44663-2071 | 2012-12-19 |
| 1023362100 | Mercy Medical Center, Inc. | Clinic/Center | 1459 Superior Ave Ne, Canton, OH 44705-1964 | 2012-10-29 |
| 1326282807 | Mercy Medical Center, Inc. | Clinical Medical Laboratory | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2009-04-28 |
| 1811038367 | Mercy Medical Center, Inc. | Psychiatric Unit | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2007-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC | 301 Saint Paul Pl, Baltimore, MD 21202-2102 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC. | 1320 Mercy Dr Nw, Canton, OH 44708-2614 |
| Oregon Corporations, Companies and Business Names | MERCY MEDICAL CENTER, INC. | 2700 Stewart Parkway, Roseburg, OR 97471 |
| Street Address |
1320 MERCY DR NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206230 | Community Dialysis Units, LLC | Clinic/Center | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2005-06-22 |
| 1295333193 | Danielle Kaya | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-10-13 | |
| 1831796655 | Melissa Lynn Alex | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-10-05 |
| 1902403181 | Katherine Mary Anderson | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-10-01 |
| 1154938496 | Kristen Nicole Wheeler | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-30 |
| 1669089801 | Mary Lou Keener | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-30 |
| 1316553175 | Victoria Watt | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-17 |
| 1124633474 | Lauren Angus | Nurse Anesthetist, Certified Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-09-14 |
| 1316550189 | Ryan Daniel Hickey | Nurse Anesthetist, Certified Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-31 |
| 1669082772 | Cynthia Marie Colt | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689296022 | Glitterati Luxury Virgin Hair Bar | Prosthetic/Orthotic Supplier | 4786 Dressler Rd Nw # 128, Canton, OH 44718-2555 | 2020-05-07 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1659731388 | Northern Orthopedic Laboratory Inc. | Prosthetic/Orthotic Supplier | 3 Remington Ave, Canton, NY 13617-3602 | 2016-02-23 |
| 1811127004 | Lucky Shoes Inc | Prosthetic/Orthotic Supplier | 4840 Everhard Rd Nw, Canton, OH 44718-2413 | 2009-07-22 |
| 1679676241 | Yanke Bionics Inc | Prosthetic/Orthotic Supplier | 4694 W Tuscarawas St, Canton, OH 44708 | 2006-09-07 |
| 1285639989 | Marquis Healthcare, Inc. | Prosthetic/Orthotic Supplier | 4051 Whipple Ave Nw, Ste. A, Canton, OH 44718-2977 | 2005-06-17 |
| 1720080005 | Canton Orthotic Laboratory Inc | Prosthetic/Orthotic Supplier | 811 12th St Nw, Canton, OH 44703-1927 | 2005-06-01 |
| 1982052692 | Premier Hope Orthotic & Prosthetic Enterprises of Mississippi, LLC | Prosthetic/Orthotic Supplier | 152 Watford Park Way Dr, Suite 147, Canton, MS 39046-7900 | 2016-06-03 |
| 1548284029 | Perrotta Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 141 Dowd Ave, Canton, CT 06019-2401 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487277323 | Diamond Laced Medical Wigs | Prosthetic/Orthotic Supplier | 7373 Brookcrest Dr, Cincinnati, OH 45237-3446 | 2020-05-27 |
| 1629601067 | Ann Marie Braydich | Prosthetic/Orthotic Supplier | 5527 Walnut Grove Cir, Struthers, OH 44471-3116 | 2020-02-13 |
| 1124661491 | John Keenan | Prosthetic/Orthotic Supplier | 11075 Westborough Rd, Parma Heights, OH 44130-3014 | 2019-10-19 |
| 1255985404 | Boston Brace International Inc. | Prosthetic/Orthotic Supplier | 17900 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130-3437 | 2019-07-26 |
| 1073077590 | Spicer Orthopedics, LLC | Prosthetic/Orthotic Supplier | 1830 Ridge Rd Nw, Bolivar, OH 44612-8512 | 2019-01-29 |
| 1851864953 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 500 E Main St Ste 250, Columbus, OH 43215-5369 | 2019-01-10 |
| 1104399138 | American Orthopedics Inc | Prosthetic/Orthotic Supplier | 1459 Marion Waldo Rd Ste 230, Marion, OH 43302-7421 | 2019-01-02 |
| 1851867212 | Ohrh, LLC | Prosthetic/Orthotic Supplier | 574 N State St Ste B, Westerville, OH 43082-6058 | 2018-10-23 |
| 1194291633 | Ohrh, LLC | Prosthetic/Orthotic Supplier | 1210 Gemini Pl Ste 320, Columbus, OH 43240-6109 | 2018-10-23 |
| 1619443066 | Ohrh, LLC | Prosthetic/Orthotic Supplier | 2185 Stringtown Rd Unit 11, Grove City, OH 43123-2989 | 2018-10-23 |
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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.