PULMONOLOGY CRITICAL CARE PHYSICIANS INC. (NPI# 1437201985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437201985 |
| Entity Type | Organization |
| Organization Name | PULMONOLOGY CRITICAL CARE PHYSICIANS INC. |
| Practice Address |
1330 Mercy Dr Nw Canton OH 44708-2626 |
| Practice Telephone | 3304891454 |
| Practice Fax Number | 3304306913 |
| Mailing Telephone | 3304891454 |
| Mailing Fax Number | 3304306913 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. ROBERT B PACKER (PRESIDENT) |
| Authorized Official Telephone | 3304891454 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0658506 | 05 |
| Street Address |
1330 MERCY DR NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-2626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215930946 | Mark Carless Stachel | Internal Medicine | 1330 Mercy Dr Nw, Ste 318, Canton, OH 44708-2624 | 2005-05-27 |
| 1407305402 | Lindsay Anne Haupt | Nurse Practitioner | 1330 Mercy Dr Nw, Canton, OH 44708-2626 | 2016-10-02 |
| 1902261944 | Laurie Jean Fitzgibbon | Nurse Practitioner | 1330 Mercy Dr Nw, Suite 418, Canton, OH 44708-2626 | 2015-12-17 |
| 1235502303 | Amanda Michelle Johnson | Nurse Practitioner | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2015-11-11 |
| 1245493477 | Heather B Lee | Physician Assistant | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2008-07-08 |
| 1992980783 | Mazin Shackour | Surgery | 1330 Mercy Dr Nw, Suite 420, Canton, OH 44708-2626 | 2007-12-31 |
| 1649450669 | Simonette Carol Jones | Internal Medicine | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2007-11-07 |
| 1649468240 | Stark Cardiothoracic Surgery, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1330 Mercy Dr Nw, Suite 410, Canton, OH 44708-2626 | 2007-10-09 |
| 1942414313 | Meena Rajan | Internal Medicine | 1330 Mercy Dr Nw, Canton, OH 44708-2626 | 2007-05-09 |
| 1922135136 | Michael Patrick Mccormack | Plastic Surgery | 1330 Mercy Dr Nw, Suite 522, Canton, OH 44708-2626 | 2007-02-27 |
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| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184252595 | Peachtree Surgical Assistants Inc | Specialist | 59 Anderson Ave Apt 127, Canton, GA 30114-2330 | 2020-03-31 |
| 1841792611 | Medical Affiliates Inc | Specialist | 2000 Village Professional Dr Ste 200, Canton, GA 30114-8499 | 2018-03-07 |
| 1710421185 | Michele L Gash | Specialist | 4505 12th St Nw, Lower, Canton, OH 44708-3536 | 2016-12-05 |
| 1497202857 | Aultman Hospital | Specialist | 4650 Hills and Dales Road Nw, Canton, OH 44708-6221 | 2016-09-02 |
| 1033576970 | Stephanie Grimes | Specialist | 42522 Amherst Ct, Canton, MI 48187-2359 | 2016-01-22 |
| 1710384987 | Sonya Hess | Specialist | 1801 Scheider St. Ne, Canton, OH 44721-3349 | 2014-12-03 |
| 1235536145 | Courteney Vesco | Specialist | 1326 Sherrick Rd Se, Canton, OH 44707-3531 | 2014-11-21 |
| 1396154365 | Nephrology and Critical Care Pllc | Specialist | 48356 Wadebridge Dr, Canton, MI 48187-1225 | 2014-08-04 |
| 1093132599 | Nancy Miller | Specialist | 8340 Alton St, Canton, MI 48187-4228 | 2014-03-21 |
| 1225474307 | Anointed Healing | Specialist | 113 Mountain Brook Dr Ste 208, Canton, GA 30115-9057 | 2013-05-16 |
| 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.