MARK GARRETSON (NPI# 1538694617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538694617 |
| Entity Type | Individual |
| Full Name | MARK GARRETSON |
| Practice Address |
1930 Fulton Rd Nw # 103 Canton OH 44709-3526 |
| Practice Telephone | 3309565936 |
| Practice Fax Number | 3309565623 |
| Mailing Telephone | 3309565936 |
| Mailing Fax Number | 3309565623 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2019-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN 355455 | OH | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
022430 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4735 Belpar St Nw, Canton, OH 447183648 | 3304939822 | |
| 1930 Fulton Rd Nw # 103, Canton, OH 447093526 | 3309565936 | 3309565623 |
| Street Address |
1930 FULTON RD NW # 103 |
| City | CANTON |
| State | OH |
| Zip Code | 44709-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588198170 | Carrie Ward | Licensed Practical Nurse | 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 | 2017-04-20 |
| 1043702434 | James Lenzy | Counselor | 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 | 2018-06-01 |
| 1346732096 | Edward L Lenzy | Counselor | 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 | 2018-05-30 |
| 1124510896 | Diana Asiedu | Registered Nurse | 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 | 2018-05-30 |
| 1659863371 | Dawn Pullin | Counselor | 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 | 2018-05-30 |
| 1285126995 | Maude Griffin | Licensed Practical Nurse | 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 | 2018-05-30 |
| 1417449117 | Janet Canter | Social Worker | 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 | 2018-05-30 |
| 1336674084 | Grace Nkwocha | Registered Nurse | 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 | 2017-05-01 |
| 1588199665 | Antoinette Merandes | Counselor | 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 | 2017-04-26 |
| 1043745128 | Ifeyinwa Ugweje | Registered Nurse | 1930 Fulton Rd Nw # 103, Canton, OH 44709-3526 | 2017-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174093199 | Stone Crossing Skilled Care, LLC | Assisted Living Facility | 836 34th Street, Nw, Canton, OH 44709 | 2018-12-03 |
| 1346749736 | Jillia Katelynne Cook | Specialist/Technologist | 2223 29th St Nw, Canton, OH 44709 | 2018-02-12 |
| 1235675216 | Lisa Teeple | Speech-Language Pathologist | 2100 38th Street Nw, Stark County Educational Service Center, Canton, OH 44709 | 2017-01-13 |
| 1063825370 | Anton Zopel X | Occupational Therapist | 2100 38th St. Nw, Stark County Esc, Canton, OH 44709 | 2014-06-04 |
| 1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
| 1114109832 | Alison Jensen | Dentist | 3934 Everhard Rd Nw, Canton, OH 44709 | 2007-12-04 |
| 1225234115 | Dr. Kuendig & Associates, Inc | Clinical Neuropsychologist | 100 30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1851597751 | Richard C. Kuendig | Psychologist | 100-30th St. Nw, Suite 109, Canton, OH 44709 | 2007-06-26 |
| 1154540318 | Christopher A Watson | Specialist/Technologist | 515 25th Street Nw, Canton, OH 44709 | 2007-04-25 |
| 1205950979 | Plain Local School District | Local Education Agency (LEA) | 901 44th Street Nw, Canton, OH 44709 | 2007-03-19 |
| Find all providers in zip 44709 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487162319 | Mary Melvin Smith | Nurse Practitioner | 107 Cannon Run, Canton, MS 39046-8033 | 2018-01-12 |
| 1851838809 | Kristen Bourgon-yee | Nurse Practitioner | 236 Constitution St, Canton, MI 48188-6719 | 2017-01-30 |
| 1063883981 | Destiny Howe | Nurse Practitioner | 1610 Oakdale Rd, Canton, GA 30114-4512 | 2015-10-19 |
| 1912398827 | Andrea Johnson | Nurse Practitioner | 7440 Claremont St, Canton, MI 48187-1535 | 2015-02-13 |
| 1376973602 | Sarita Rao | Nurse Practitioner | 44270 Duchess Dr, Canton, MI 48187-3242 | 2013-11-22 |
| 1134476088 | Carla Valerie Hart-tyner | Nurse Practitioner | 3801 Whipple Ave Nw Ste 1, Canton, OH 44718-4802 | 2012-08-09 |
| 1902173560 | Abbey Baum-beigie | Nurse Practitioner | 626 34th Street Nw, Canton, OH 44709 | 2011-11-28 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| 1942502109 | Lynn A Nuti | Nurse Practitioner | 16 Forge Pond, Unit D, Canton, MA 02021-2995 | 2010-11-21 |
| 1841470010 | Wida M Miller | Nurse Practitioner | 2600 6th St Sw # A2-710, Canton, OH 44710-1702 | 2007-11-05 |
| 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.