BARBARA M MODIC MD INC (NPI# 1487968970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487968970 |
| Entity Type | Organization |
| Organization Name | BARBARA M MODIC MD INC |
| Practice Address |
25 N Canfield Niles Rd Suite110 Austintown OH 44515-2328 |
| Practice Telephone | 3307922577 |
| Practice Fax Number | 3307923199 |
| Mailing Telephone | 3307922577 |
| Mailing Fax Number | 3307923199 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-09-07 |
| Authorized Official Name | DR. BARBARA MARIE MODIC (OWNER) |
| Authorized Official Telephone | 3307922577 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 302F00000X | Exclusive Provider Organization | 35055600 | OH | Managed Care Organizations |
| Street Address |
25 N CANFIELD NILES RD SUITE110 |
| City | AUSTINTOWN |
| State | OH |
| Zip Code | 44515-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073628756 | Children's Healthcare Center | Pediatrics | 25 N Canfield Niles Rd, Suite 160, Austintown, OH 44515-2328 | 2006-08-20 |
| 1326691403 | Caleb William-thomas Folkerts | Counselor | 25 N Canfield Niles Rd, Austintown, OH 44515-2328 | 2019-07-18 |
| 1407236508 | Bradley S. Smith | Social Worker | 25 N Canfield Niles Rd, Austintown, OH 44515-2328 | 2015-06-03 |
| 1396046256 | Elaine's Health Services, Inc. | Alzheimer Center (Dementia Center) | 25 N Canfield Niles Rd, Suite 25, Austintown, OH 44515-2328 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700448743 | Anthony Kelso | Exclusive Provider Organization | 2460 Sullivant Ave, Columbus, OH 43204-3139 | 2019-06-30 |
| 1538724703 | Sharonda S Reeves | Exclusive Provider Organization | 527 S Waverley St, Columbus, Columbus, OH 43213-4321 | 2019-05-03 |
| 1578058434 | Stephen Richard Remis | Exclusive Provider Organization | 89 Maplewood Ave, Rittman, OH 44270-1631 | 2018-06-24 |
| 1487155347 | Family Care Path Inc | Exclusive Provider Organization | 1801 E 9th St Ste 1700, Cleveland, OH 44114-3187 | 2018-02-26 |
| 1902346463 | Bashir Awl | Exclusive Provider Organization | 4130 Adalric Dr, Columbus, OH 43219-6199 | 2017-03-03 |
| 1093265639 | Harry Rodgers IIi | Exclusive Provider Organization | 25 French Mill Run, Apt 22, Cuyahoga Falls, OH 44223-3455 | 2016-10-06 |
| 1376091629 | Deasa Holly | Exclusive Provider Organization | 2473 Timbercroft Ct, Cincinnati, OH 45239-6614 | 2016-09-15 |
| 1326410788 | Roberta L. Jones | Exclusive Provider Organization | 322 Crestwood Ave, Akron, OH 44302-1619 | 2015-10-26 |
| 1417332412 | Safekeep Home Health Care Agency,llc | Exclusive Provider Organization | 24901 Fisher Rd, Euclid, OH 44117-1220 | 2015-07-21 |
| 1598151904 | Homeless W Income | Exclusive Provider Organization | 3323 W 25th St, Cleveland, OH 44109-1691 | 2015-04-13 |
| Find all providers with the same taxonomy | ||||
| City | AUSTINTOWN |
| Zip Code | 44515 |
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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.