ERIC BRACKEN (NPI# 1336553353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336553353 |
| Entity Type | Individual |
| Full Name | ERIC BRACKEN |
| Credential | M.D. |
| Practice Address |
2600 6th St Sw Canton OH 44710-1702 |
| Mailing Address |
2600 6th St Sw Canton OH 44710-1799 |
| Practice Telephone | 3304529911 |
| Mailing Telephone | 3304529911 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2019-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35.136072 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
2600 6TH ST SW |
| City | CANTON |
| State | OH |
| Zip Code | 44710-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700885142 | Michael W Soehnlen | Radiology | 2600 6th St Sw, Radiology Associates of Canton, Inc., Canton, OH 44710-1702 | 2005-07-19 |
| 1881295475 | Gina Marie Shaffo | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-11-02 |
| 1427659051 | Heidi Lynn Martinez | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-11-02 |
| 1215537907 | Travis Paul Gray | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
| 1780284430 | Kelly Marie Mason | Nurse Anesthetist, Certified Registered | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-30 |
| 1003414624 | Annie Shelton | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-15 |
| 1982202511 | Sean D Myer | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-15 |
| 1366049215 | Molly Rose Kathleen Davis | Registered Nurse | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-10-05 |
| 1578177192 | Vyshnavi Iswaravaka | Student in an Organized Health Care Education/Training Program | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-09-01 |
| 1124638705 | Varun Victor | Student in an Organized Health Care Education/Training Program | 2600 6th St Sw, Canton, OH 44710-1702 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219024 | Philip Anthony Femano IIi | Student in an Organized Health Care Education/Training Program | Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 | 2018-03-23 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1770032146 | Tammy Lamotte | Registered Nurse | 3302 11th St Sw, Canton, OH 44710 | 2016-09-27 |
| 1861898280 | Heather Nicole Burrier | Registered Nurse | 2823 9th St. Sw, Cedar School, Canton, OH 44710 | 2014-11-12 |
| 1437569688 | Kameika Thomas | Licensed Practical Nurse | 2704 9th St Sw, Canton, OH 44710 | 2014-04-28 |
| 1578836672 | Julie J Marsh | Dietitian, Registered | Aultman Hospital, 2600 Sixth Street Sw, Canton, OH 44710 | 2012-02-21 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
| 1013012897 | Daniel Wasdahl | Pathology | 2600 6th St, Canton, OH 44710 | 2006-09-14 |
| Find all providers in zip 44710 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689916199 | Precision Diagnostics LLC | Psychiatry & Neurology | 4153 Monarch Ave, Canton, MI 48188-7207 | 2013-03-22 |
| 1407006802 | Comprehensive Neurology of North Georgia, PC | Psychiatry & Neurology | 203 Oakside Ln, Suite A, Canton, GA 30114-6407 | 2008-09-23 |
| 1255382818 | Sailen K. Mukerjee | Psychiatry & Neurology | 7288 N Sheldon Rd, Canton, MI 48187-2150 | 2006-05-16 |
| 1922058023 | Faiz Ehsan Niaz | Psychiatry & Neurology | 203 Oakside Lane, Suite A, Canton, GA 30114 | 2006-05-11 |
| 1699129288 | Lane Andrew Fowler | Psychiatry & Neurology | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2016-04-20 |
| 1407221658 | Premier Neurological Care | Psychiatry & Neurology | 145 Riverstone Ter, Canton, GA 30114-5317 | 2015-12-14 |
| 1821470550 | Natanel Leibu | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115-8033 | 2015-06-18 |
| 1265774566 | Damien Eugene Earl | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718 | 2013-03-25 |
| 1225370752 | Hamza Tarek Malek | Psychiatry & Neurology | 6119 Us Highway 11, Canton, NY 13617-3991 | 2013-03-22 |
| 1508155854 | Radhika Sampat | Psychiatry & Neurology | 470 Northside Cherokee Blvd Ste 490, Canton, GA 30115 | 2011-04-06 |
| Find all providers in CANTON | ||||
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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.