MANNACARE HEALTH AND WELLNESS MEDICAL CENTER LLC (NPI# 1649821158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649821158 |
| Entity Type | Organization |
| Organization Name | MANNACARE HEALTH AND WELLNESS MEDICAL CENTER LLC |
| Practice Address |
4139 State Route 235 Apt I Ada OH 45810-9500 |
| Mailing Address |
4139 State Route 235 I Ada OH 45810-9500 |
| Practice Telephone | 7408185248 |
| Mailing Telephone | 7408185248 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | MS. ABIGAIL AKYEAMPONG (CNP) |
| Authorized Official Telephone | 7408185248 |
| Authorized Official Credential | CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Mannacare Health and Wellness Medical Center LLC | Doing Business As Name - Organization |
| Mannacare Health and Werllness Medical Center LLC | Doing Business As Name - Organization |
| Street Address |
4139 STATE ROUTE 235 APT I |
| City | ADA |
| State | OH |
| Zip Code | 45810-9500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194120584 | Abigail Akyeampong | Nurse Practitioner | 4139 State Route 235 Apt I, Ada, OH 45810-9500 | 2014-10-28 |
| 1275082679 | Kuinmed LLC | Nurse Practitioner | 4139 State Route 235 Apt I, Ada, OH 45810-9500 | 2016-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437668183 | Ohio Northern University | Pharmacy | 511 W Lincoln Ave, Ada, OH 45810 | 2017-09-26 |
| 1104210723 | Brady Pickford | Registered Nurse | 0257 S.r. 235, Ada, OH 45810 | 2015-03-20 |
| 1356546808 | Ada-liberty Jt Ambulance Dis | Ambulance | 530 North Gilbert Street, Ada, OH 45810 | 2007-06-15 |
| 1215158845 | Justin Eugene Lehman | Specialist/Technologist | 525 S. Main Street, King-horn Sportscenter, Ada, OH 45810 | 2007-05-01 |
| 1447371935 | Michael David Elliott | Pharmacist | 610 S. Main St., Ada, OH 45810 | 2007-04-02 |
| 1821159575 | Teresa E Rush | Nurse Practitioner | 604 W North Ave, Ada, OH 45810 | 2006-12-13 |
| 1346346913 | Billy T Morgan IIi | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-09-15 |
| 1174514145 | Donald Lawrence Sullivan | Pharmacist | Ohio Northern University, College of Pharmacy, Ada, OH 45810 | 2005-10-31 |
| 1407921117 | Ada Family Dentistry | Dentist | 4350 Sr 235, Ada, OH 45810 | 2006-11-21 |
| 1538246038 | Mark Benner Shull | Dentist | 120 S Main Street, Ada, OH 45810 | 2006-11-01 |
| Find all providers in zip 45810 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274052 | Chrissy Marie Lehew | Nurse Practitioner | 11420 County Road 1518 Cir, Ada, OK 74820-5548 | 2019-09-12 |
| 1356810444 | Tamera Casady | Nurse Practitioner | 131 E 12th St Unit 2542, Ada, OK 74821-7225 | 2018-11-19 |
| 1700370467 | Brianna Leigh Youngwolfe | Nurse Practitioner | 2020 Arlington St Ste 6, Ada, OK 74820 | 2018-06-17 |
| 1083084461 | Michelle Ann Cole | Nurse Practitioner | 709 Better Now Plz, Ada, OK 74820-2279 | 2015-09-29 |
| 1194120584 | Abigail Akyeampong | Nurse Practitioner | 4139 State Route 235 Apt I, Ada, OH 45810-9500 | 2014-10-28 |
| 1659985430 | Christy Lynn Morris | Nurse Practitioner | 325 N Monte Vista St, Ada, OK 74820-4607 | 2020-08-31 |
| 1780209254 | Holly Katharyn Farrar | Nurse Practitioner | 721 Better Now Plz, Ada, OK 74820-2279 | 2020-06-10 |
| 1205478682 | Sommer Leeann Millard | Nurse Practitioner | 1023 Arlington St Ste B, Ada, OK 74820-4028 | 2019-10-17 |
| 1710528674 | Lisa Renea Pate | Nurse Practitioner | 730 Finley Dr, Ada, OK 74820-5392 | 2019-10-02 |
| 1588225239 | Kari J Bergman | Nurse Practitioner | 201 9th St W, Ada, MN 56510-1279 | 2019-06-24 |
| Find all providers in ADA | ||||
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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.