MR. KOREY A MCCREERY (NPI# 1619512787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619512787 |
| Entity Type | Individual |
| Full Name | MR. KOREY A MCCREERY |
| Credential | COPRS-S |
| Practice Address |
3311 12th St Nw Canton OH 44708-3909 |
| Mailing Address |
159 Fromm Ave Nw Canton OH 44708-5005 |
| Practice Telephone | 2342149731 |
| Mailing Telephone | 2342149731 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | OH | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 159 Fromm Ave Nw, Canton, OH 447085005 | 2342149731 |
| Street Address |
3311 12TH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-3909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093350068 | Marc A Walker | Peer Specialist | 3311 12th St Nw, Canton, OH 44708-3909 | 2019-11-13 |
| 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 | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093350068 | Marc A Walker | Peer Specialist | 3311 12th St Nw, Canton, OH 44708-3909 | 2019-11-13 |
| 1114569506 | Nicole Herndon | Peer Specialist | 1114 Gonder Ave Se, Canton, OH 44707-3300 | 2019-10-17 |
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1851864144 | Jennifer Kathleen Shannon | Peer Specialist | 2945 Willowrow Ave Ne, Canton, OH 44705-3612 | 2019-01-09 |
| 1861962599 | Darnella L Jenkins | Peer Specialist | 2306 Crown Pl Nw, Canton, OH 44708-4420 | 2018-11-26 |
| 1396229027 | Michelle Lois Stackhouse | Peer Specialist | 5736 East Blvd Nw, Canton, OH 44718-1655 | 2018-09-19 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| 1427656354 | Aaron Schreffler | Peer Specialist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2020-10-13 |
| 1659985158 | Tracy Hart | Peer Specialist | 80 State Highway 310 Ste 1, Canton, NY 13617-1493 | 2020-09-02 |
| 1790309581 | Jamaine Thomas Atkins Sr. | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2020-06-08 |
| 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.