JOSEPH BOCKA (NPI# 1386784270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386784270 |
Entity Type | Individual |
Full Name | JOSEPH BOCKA |
Credential | MD |
Practice Address |
200 Park Ave W Mansfield OH 44902-1608 |
Mailing Address |
600 W Third St Mansfield OH 44906 |
Practice Telephone | 4195222239 |
Practice Fax Number | 4195267939 |
Mailing Telephone | 4195226191 |
Mailing Fax Number | 4195256723 |
Enumeration Date | 2007-02-08 |
Last Update Date | 2018-11-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 35.066999 | OH | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 35.066999 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 979482 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
335 Glessner Ave, Mansfield, OH 449032269 | 4195226800 | |
600 W 3rd St, Mansfield, OH 449062633 | 4195226191 | |
741 Scholl Road, Mansfield, OH 449071608 | 4197561717 |
Street Address |
200 PARK AVE W |
City | MANSFIELD |
State | OH |
Zip Code | 44902-1608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245858950 | Third Street Community Clinic Inc | Clinic/Center | 200 Park Ave W, Mansfield, OH 44902-1608 | 2020-07-09 |
1972053452 | Third Street Community Clinic Inc | Clinic/Center | 200 Park Ave W, Mansfield, OH 44902-1608 | 2016-10-10 |
1447438650 | Dionysios N Klironomos | Neurological Surgery | 200 Park Ave W, Mansfield, OH 44902-1608 | 2008-02-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376069757 | Deborah L Niederhuber | Registered Nurse | 40 W 4th St., Mansfield, OH 44902 | 2017-08-17 |
1174978183 | Rebecca A Wagers | Community Health Worker | 28 Park Avenue West, Suite 300, Mansfield, OH 44902 | 2016-04-27 |
1053644336 | The Sun Home Health Care At Mansfield, Inc | Home Health | 166 Park Ave W., Suite 205, Mansfield, OH 44902 | 2009-09-17 |
1821248899 | Yanke Bionics Inc | Prosthetic/Orthotic Supplier | 380 N. Main St., Suite L101, Mansfield, OH 44902 | 2008-09-25 |
1518134824 | Walter E Glenn Dds Inc | Dentist | 13 Park Ave West Suite 517, Walter E Glenn Dds Inc, Mansfield, OH 44902 | 2008-05-15 |
1174708853 | Medical Service Companies | Durable Medical Equipment & Medical Supplies | 92 N. Diamond St., Mansfield, OH 44902 | 2007-12-31 |
1225195449 | Rod L Staker | Dentist | 61 North Mulberry Street, Mansfield, OH 44902 | 2007-01-03 |
1841398328 | Velma F Anderson | Speech-Language Pathologist | 255 Hedges Street, Suite A, Mansfield, OH 44902 | 2006-09-20 |
1093746679 | Walter Edward Glenn | Dentist | 13 Park Avenue West, Suite 517, Mansfield, OH 44902 | 2006-07-05 |
1023056702 | First Choice Home Health of Ohio Inc | Home Health | 1227 Park Ave West, Mansfield, OH 44902 | 2006-06-03 |
Find all providers in zip 44902 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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---|---|---|---|---|
1609004381 | Sos Healthcare Center, Inc. | General Practice | 980 N Walnut Creek Dr, Suite 100, Mansfield, TX 76063-8019 | 2009-07-01 |
1285844035 | Wallace B Norton | General Practice | 931 Cardinal Rd, Mansfield, TX 76063-6318 | 2007-05-23 |
1962622738 | Kenneth Dean Williams | General Practice | 1001 Olivesburg Rd, Mansfield, OH 44905-1228 | 2007-04-26 |
1811543671 | Ohio Opiate Recovery | General Practice | 380 Cline Ave Ste 1, Mansfield, OH 44907-1056 | 2019-08-16 |
1720091838 | Maria Luisa Cruz | General Practice | 40 W Wellsboro St, Mansfield Laurel Health Center, Mansfield, PA 16933-1411 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
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1760089585 | Tanya Millicent Kyler | General Practice | 512 Shorb Ave Nw Apt 3, Canton, OH 44703-2580 | 2020-10-05 |
1053928499 | Ontario Medical Spine and Joint | General Practice | 2262 Stumbo Rd, Ontario, OH 44906-3804 | 2020-09-29 |
1437788874 | Syed, LLC | General Practice | 366 Birchbrook Ct, Centerville, OH 45458-9718 | 2020-04-07 |
1982237681 | Hydreight Usa LLC | General Practice | 16738 Pearl Rd, Strongsville, OH 44136-6049 | 2020-02-20 |
1699306126 | Integrated Medicine of Ohio LLC | General Practice | 6200 Rockside Woods Blvd N Ste 100, Independence, OH 44131-2392 | 2020-02-03 |
1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
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.