HEALTHSPAN PHYSICIANS, LLC (NPI# 1568874949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568874949 |
| Entity Type | Organization |
| Organization Name | HEALTHSPAN PHYSICIANS, LLC |
| Other Organization Name | HEALTHSPAN PHYSICIANS - NORTH CANTON |
| Practice Address |
4914 Portage St Nw North Canton OH 44720-7249 |
| Mailing Address |
12301 Snow Rd Revenue Cycle Department Parma OH 44130-1002 |
| Practice Telephone | 3304932000 |
| Practice Fax Number | 3304932020 |
| Mailing Telephone | 8662658844 |
| Mailing Fax Number | 2162658890 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-09-22 |
| Authorized Official Name | MICHAEL MILECA (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 2162658811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| HealthSpan Physicians - North Canton | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215349634 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 12301 Snow Rd, Parma, OH 44130-1002 | 2014-05-21 |
| 1518379908 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2014-05-20 |
| 1174935563 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 20575 Center Ridge Rd, Suite 502, Rocky River, OH 44116-3422 | 2014-05-20 |
| 1629480058 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 1260 Independence Ave, Akron, OH 44310-1812 | 2014-05-20 |
| 1790197168 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 7536 Fredle Dr, Painesville, OH 44077-9406 | 2014-05-20 |
| 1730591108 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 2500 State Route 59, Suite 28, Kent, OH 44240-7105 | 2014-05-20 |
| 1235541624 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 8920 Canyon Falls Blvd, Twinsburg, OH 44087-1990 | 2014-05-20 |
| 1952713331 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2014-05-20 |
| 1033521422 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-05-20 |
| 1841602216 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 4055 Embassy Pkwy, Fairlawn, OH 44333-1781 | 2014-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | HEALTHSPAN PHYSICIANS, LLC | 615 Elsinore Place, Cincinnati, OH 45202 |
| Street Address |
4914 PORTAGE ST NW |
| City | NORTH CANTON |
| State | OH |
| Zip Code | 44720-7249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770766420 | Lisa M Sheets | Nurse Practitioner | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2007-12-17 |
| 1073941803 | Healthspan Integrated Care | Family Medicine | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2013-10-14 |
| 1942583646 | Ohio Permanente Medical Group | Family Medicine | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2011-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351251 | Mark Allan Joki | Counselor | 1303 W. Maple St., Suite 103, North Canton, OH 44720 | 2018-10-11 |
| 1700305794 | Alexis Katherine Hundley | Specialist/Technologist | 1378 Devon Drive, North Canton, OH 44720 | 2017-09-12 |
| 1376060780 | Universal Impex Inc. | Day Training, Developmentally Disabled Services | 6868 Farmcrest Cir Nw., North Canton, OH 44720 | 2017-08-25 |
| 1083066203 | Wendy Barnett | Registered Nurse | 8722 Grimes Ave Nw, North Canton, OH 44720 | 2016-07-12 |
| 1336590389 | Amanda L Cockerell | Occupational Therapy Assistant | 330 E Maple St, North Canton, OH 44720 | 2016-06-30 |
| 1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
| 1467816124 | Jami Lynn Fisher | Occupational Therapist | 6057 Strip Avenue Nw, North Canton, OH 44720 | 2016-04-08 |
| 1801255427 | Steven R Fricke | Psychologist | 239 Portage St. Ne, North Canton, OH 44720 | 2016-02-11 |
| 1396124814 | Burkins Ritchie & Assco LLC | Counselor | 1206 N. Main St, North Canton, OH 44720 | 2015-05-29 |
| 1073992590 | Max Dean Burkins | Counselor | 1206 N. Main St., North Canton, OH 44720 | 2015-05-29 |
| Find all providers in zip 44720 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861708141 | Ems Sentry Inc | Durable Medical Equipment & Medical Supplies | 435-b Applegrove St Nw, North Canton, OH 44720 | 2010-08-25 |
| 1053630152 | Access Medical Supplies and Equipment | Durable Medical Equipment & Medical Supplies | 6959a Promway Avenue Nw, North Canton, OH 44720 | 2010-05-28 |
| 1083862973 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6701 Frank Ave Nw, North Canton, OH 44720-7268 | 2008-09-04 |
| 1275642514 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 7800 Cleveland Avenue Nw, North Canton, OH 44720-5658 | 2006-08-30 |
| 1477575280 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 5584 Dressler Rd Nw, North Canton, OH 44720-7757 | 2006-07-24 |
| 1740207935 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4572 Mega St Nw, North Canton, OH 44720-7098 | 2006-07-16 |
| 1356379440 | Discount Drug Mart Inc | Durable Medical Equipment & Medical Supplies | 1695 N Main St, North Canton, OH 44720-8605 | 2006-06-29 |
| 1174595250 | Absolute Billing Services, Inc. | Durable Medical Equipment & Medical Supplies | 7171 Keck Park Cir Nw Ste 200, North Canton, OH 44720-6301 | 2006-02-03 |
| 1518394311 | North Central Medical Resources, Inc. | Durable Medical Equipment & Medical Supplies | 6046 Whipple Ave Nw, Suite #210, North Canton, OH 44720-7616 | 2013-10-11 |
| 1629361985 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 1339 N Main St, North Canton, OH 44720-1972 | 2011-05-19 |
| Find all providers in NORTH CANTON | ||||
| City | NORTH CANTON |
| Zip Code | 44720 |
Please comment or provide details below to improve the information on HEALTHSPAN PHYSICIANS, LLC.
| 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.