MR. PEDRO MARTINEZ (NPI# 1255604971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255604971 |
| Entity Type | Individual |
| Full Name | MR. PEDRO MARTINEZ |
| Credential | LCDCII |
| Practice Address |
4030 Boardman Canfield Rd Suite 200c Canfield OH 44406-9505 |
| Practice Telephone | 3302860050 |
| Practice Fax Number | 3302860055 |
| Mailing Telephone | 3302860050 |
| Mailing Fax Number | 3302860055 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |
| 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) |
106573 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883899 | Pedro Concepcion Martinez | Clinic/Center | Villa Universitaria Ba Calle 26a #loc A, Humacao, PR 00791 | 2019-10-28 |
| 1154785087 | Pedro Martinez | Day Training/Habilitation Specialist | 5800 Truchas Dr Ne Apt 211, Albuquerque, NM 87109-3876 | 2016-04-06 |
| 1205116878 | Pedro Martinez | Massage Therapist | 215 Sw 17th Ave Ste 210, Miami, FL 33135-3674 | 2011-08-26 |
| 1366744427 | Pedro Juan Martinez | Technician/Technologist | Calle Paraguay 318 Urb El Prado, San Juan, PR 00917-4029 | 2010-11-23 |
| 1689794729 | Pedro R. Martinez | Counselor | F22 Calle Aragon, Villa Contesa, Bayamon, PR 00956-2778 | 2007-03-30 |
| 1417083890 | Pedro Martinez | Pharmacist | Farmacia Rey Carr 842 Km 26, Bo Caimito, San Juan, PR 00926 | 2007-02-27 |
| 1487705307 | Pedro Javier Martinez | Dentist | 8532 Old Cr 54, Greenbrook Plaza, New Port Richey, FL 34653 | 2007-01-16 |
| 1235180183 | Pedro Jose Martinez | Emergency Medicine | Se, 1r Piso Ed. Central, San Juan, PR 00922-2129 | 2006-05-15 |
| 1912311697 | Pedro Martinez Jr. | Occupational Therapist | 3500 Oak Manor Ln, Largo, FL 33774-1211 | 2014-06-20 |
| 1104237510 | Pedro Enrique Martinez | Psychiatry & Neurology | 9000 Rockville Pike, Building 10 Crc, Room 2-5330, Bethesda, MD 20892-0001 | 2014-05-20 |
| Street Address |
4030 BOARDMAN CANFIELD RD SUITE 200C |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406-9505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881687085 | Travco Rehabilitation Center, Inc. | Clinic/Center | 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406-9505 | 2005-08-24 |
| 1821438730 | Jaymi Lynn Wendt | Social Worker | 4030 Boardman Canfield Rd, Canfield, OH 44406-9505 | 2013-06-25 |
| 1134484348 | Katherine Feather | Counselor | 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406-9505 | 2012-07-13 |
| 1437418001 | Travco Behavioral Health, Inc. | Community/Behavioral Health | 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406-9505 | 2012-05-16 |
| 1972647097 | Bury Chiropractic and Wellness Center | Chiropractor | 4030 Boardman Canfield Rd, Suite # 100c, Canfield, OH 44406-9505 | 2007-02-20 |
| 1467598987 | Cynthia Ann Kruzel-o'keefe | Counselor | 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406-9505 | 2007-01-30 |
| 1124086616 | Travco Behavioral Health, Inc. | Case Management | 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406-9505 | 2006-05-03 |
| 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 | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137115 | Susan Young | Counselor | 3821 Starrs Centre Dr Ste B, Canfield, OH 44406-8003 | 2020-02-26 |
| 1689188146 | Jennifer Rich | Counselor | 3821 Starrs Centre Dr Ste A, Canfield, OH 44406-8003 | 2017-11-20 |
| 1730462201 | Terri Liller | Counselor | 7 Court St Ste 260, Canfield, OH 44406-1407 | 2011-09-21 |
| 1104975432 | Kurt W. Beler | Counselor | 7300 S Raccoon Rd, Canfield, OH 44406-8102 | 2007-01-09 |
| 1235582347 | Newport Counseling, LLC | Counselor | 132 S Broad St, Suite 401b, Canfield, OH 44406-1442 | 2016-07-14 |
| 1811349947 | Newport Counseling LLC | Counselor | 132 S Broad St, Suite 401b, Canfield, OH 44406-1442 | 2016-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093254 | Innovative Wellness LLC | Counselor | 4985 Smoketalk Ln, Westerville, OH 43081-4432 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1790384220 | Ron Lee Ward | Counselor | 950 E Alex Bell Rd Ste 100, Centerville, OH 45459-2721 | 2020-10-26 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1750989737 | Renea Yvonne Jagel | Counselor | 4711 Nebraska Ave, Huber Heights, OH 45424-6003 | 2020-10-13 |
| 1114524741 | Amanda Jo Sharp | Counselor | 500 Lehman Ave Ste 100, Bowling Green, OH 43402-3068 | 2020-10-06 |
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| 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.