NEUROCARE SLEEP CENTER (NPI# 1407180144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407180144 |
| Entity Type | Organization |
| Organization Name | NEUROCARE SLEEP CENTER |
| Practice Address |
4105 Holiday St Nw Canton OH 44718-2531 |
| Mailing Address |
Po Box 35006 Canton OH 44735-5006 |
| Practice Telephone | 3304942097 |
| Practice Fax Number | 3302442522 |
| Mailing Telephone | 3304942097 |
| Mailing Fax Number | 3302442522 |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | DR. JAMES R. BAVIS JR. (MEDICAL LAB DIRECTOR) |
| Authorized Official Telephone | 3304942097 |
| Authorized Official Credential | M.D., DBSM |
| Is Organization Subpart | Y |
| Parent Organization Name | NEUROCARE CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
| Street Address |
4105 HOLIDAY ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306890223 | Wilbert Williams | Physician Assistant | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2006-05-22 |
| 1336663608 | Felecia Nicole Kelley | Physician Assistant | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2017-07-28 |
| 1255703211 | Jillian Berkshire | Nurse Practitioner | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2015-10-29 |
| 1942685904 | Emily Rose Waight | Physician Assistant | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2015-07-20 |
| 1265774566 | Damien Eugene Earl | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718 | 2013-03-25 |
| 1629306022 | Angela M Rickard | Physician Assistant | 4105 Holiday St Nw, Neurocare Center, Canton, OH 44718-2531 | 2009-11-23 |
| 1326256462 | Ryan Stuart Drake | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2007-05-21 |
| 1437367570 | Jennifer A Drake | Psychiatry & Neurology | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2007-05-21 |
| 1760515308 | Vanessa Helen Worley | Physician Assistant | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2007-03-13 |
| 1891854006 | Kathleen Louise O'reilly | Nurse Practitioner | 4105 Holiday St Nw, Canton, OH 44718-2531 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| 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 |
| 1336553353 | Eric Bracken | Psychiatry & Neurology | 2600 6th St Sw, Canton, OH 44710-1702 | 2014-06-18 |
| 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 |
| 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.