NORTH CANTON MEDICAL FOUNDATION (NPI# 1649383340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649383340 |
Entity Type | Organization |
Organization Name | NORTH CANTON MEDICAL FOUNDATION |
Other Organization Name | CHILD & ADOLESCENT PSYCHIATRY |
Practice Address |
6513 Frank Ave Nw North Canton OH 44720-7265 |
Mailing Address |
6046 Whipple Ave Nw North Canton OH 44720-7616 |
Practice Telephone | 3304331300 |
Practice Fax Number | 3304940828 |
Mailing Telephone | 3304331200 |
Mailing Fax Number | 3303055047 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2009-03-13 |
Authorized Official Name | MR. TIMOTHY J. MURPHY (CFO) |
Authorized Official Telephone | 3304331400 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TAXONOMY | 2084A0401X | 01 |
Other Name | Type Code |
---|---|
Child & Adolescent Psychiatry | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588681340 | North Canton Medical Foundation | Clinic/Center | 2823 Aaronwood Ave Ne, Massillon, OH 44646-2371 | 2006-07-17 |
1891904199 | North Canton Medical Foundation | Durable Medical Equipment & Medical Supplies | 830 Amherst Rd Ne, Suite 201, Massillon, OH 44646-8518 | 2007-05-22 |
1912924671 | North Canton Medical Foundation | Clinic/Center | 830 Amherst Rd Ne, Suite 201, Massillon, OH 44646-8518 | 2006-07-17 |
Street Address |
6513 FRANK AVE NW |
City | NORTH CANTON |
State | OH |
Zip Code | 44720-7265 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235451477 | 4kidhelp Inc | Clinic/Center | 6513 Frank Ave Nw, North Canton, OH 44720-7265 | 2010-02-15 |
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 | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
1689211898 | Jessica Lynn Rothgeb | Psychiatry & Neurology | 1510 Seneca St, Sandusky, OH 44870-3059 | 2019-12-06 |
1023213105 | Richard Joseph Defranco | Psychiatry & Neurology | 12409 Lorain Ave, Cleveland, OH 44111-3515 | 2007-06-18 |
1871685347 | Pythias Damon Jones | Psychiatry & Neurology | 3645 Warrensville Center Rd, #216, Shaker Heights, OH 44122-5247 | 2006-09-29 |
1528021201 | Mary J Gombash | Psychiatry & Neurology | 4571 Westbourne Rd, Toledo, OH 43623-2015 | 2006-04-11 |
1952373268 | Billy Oral Barclay | Psychiatry & Neurology | 1654 Upham Dr, Columbus, OH 43210-1250 | 2006-02-02 |
1245228717 | Richard A Nockowitz | Psychiatry & Neurology | 1800 Allentown Rd, Lima, OH 45805-1873 | 2005-10-10 |
1356338222 | Giridhar Singh | Psychiatry & Neurology | 349 Olde Ridenour Rd, Gahanna, OH 43230-2528 | 2005-10-05 |
1194717454 | John Charles Andreozzi | Psychiatry & Neurology | 1660 Nave Rd Se, Massillon, OH 44646 | 2005-08-22 |
1023017720 | Azeem Qureshi | Psychiatry & Neurology | 4425 Wyandotte Woods Blvd, Dublin, OH 43016-8661 | 2005-07-15 |
Find all providers with the same taxonomy |
City | NORTH CANTON |
Zip Code | 44720 |
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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.