KENT STATE UNIVERSITY


Address: 350 Midway Dr Macc Anx Rm 123, Kent, OH 44242-0001
Phone: 3306728426

KENT STATE UNIVERSITY (NPI# 1669994620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669994620
Entity Type Organization
Organization Name KENT STATE UNIVERSITY
Other Organization Name KENT STATE UNIVERSITY SPORTS MEDICINE
Practice Address 350 Midway Dr Macc Anx Rm 123
Kent
OH 44242-0001
Mailing Address 1500 Eastway Dr
Kent
OH 44242-0001
Practice Telephone 3306728426
Mailing Telephone 3306728194
Mailing Fax Number 3306723711
Enumeration Date 2017-07-12
Last Update Date 2017-07-12
Authorized Official Name JULIE A VOLCHECK (DIRECTOR)
Authorized Official Telephone 3306728194
Is Organization Subpart Y
Parent Organization Name KENT STATE UNIVERSITY

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Kent State University Sports Medicine Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689871220 Kent State University Clinic/Center 1325 Theatre Dr A126 Center for The Performing Arts, Kent, OH 44242-0001 2007-06-28
1205871985 Kent State University General Practice 1500 Eastway Dr, Kent, OH 44242-0001 2006-06-18

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Kent State University 800 E. Summit Street, Kent, OH 44240
System for Award Management (SAM) Entities KENT STATE UNIVERSITY 1500 Horning Rd, Kent, OH 44242-0001
Ohio Business Entities KENT STATE UNIVERSITY BOOKSTORE - SALEM CAMPUS 2491 State Route 45, Salem Main Bldg, Salem, OH 44460

Office Location

Street Address 350 MIDWAY DR MACC ANX RM 123
City KENT
State OH
Zip Code 44242-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326460056 Ryan Deane Specialist/Technologist 2213 Summit Street, Athletic Training, Kent, OH 44242 2014-01-15
1447866116 Jay Jonas Specialist/Technologist 350 Midway Drive, Kent, OH 44242-0001 2020-09-18
1639700313 Alexander Stephen Walker Specialist/Technologist 1025 Risman Dr 123 Mac Center, Kent, OH 44242-0001 2020-01-30
1184280125 Lynn Veronica Berk Speech-Language Pathologist 1235 Theatre Dr Speech Pathlogy and Audiology, Kent, OH 44242-0001 2019-05-15
1316503717 Hayley Arnold Speech-Language Pathologist 1325 Theatre Drive, Kent, OH 44242-0001 2019-05-13
1215429931 Michaela Hawkins Specialist/Technologist 305 Midway Drive Attn: Athletic Training, Kent, OH 44242-0001 2018-05-30
1588155774 Pamela Cosette Mcgill Speech-Language Pathologist Kent State University 1325 Theatre Dr, Kent, OH 44242-0001 2018-05-23
1134627920 Rachel Helscher Counselor 1500 Eastway Drive Kent State University, Kent, OH 44242-0001 2018-01-26
1497275879 Brittany Schaefer Specialist/Technologist 350 Midway Dr, 366a Macc Annex, Kent, OH 44242-0001 2017-06-26
1184022782 Jayita Datta Psychologist 1500 Eastway Drive Deweese Health Ctr, Kent State University, Kent, OH 44242-0001 2014-12-12
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Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

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1326506593 Gehad I Quraan Clinic/Center 5139 W 140th St, Cleveland, OH 44142-1755 2019-03-06
1568970077 Challenged Champions Equestrian Center, Inc. Clinic/Center 11913 Road 6, Ottawa, OH 45875 2018-01-18
1871022046 Mentis Ohio, LLC Clinic/Center 6111 Oak Tree Blvd, Independence, OH 44131-2589 2017-06-09
1215460621 Athena Therapy Holding Co Clinic/Center 798 E Liberty St, Girard, OH 44420-2316 2017-04-04
1558719815 Center for Stroke and Hand Recovery Clinic/Center 32901 Station St., Suite 102, Solon, OH 44139 2016-05-27
1467819805 Physiotherapy Associates, Inc Clinic/Center 3148a West Central Avenue, Toledo, OH 43606-2920 2016-01-15
1336517689 Absolute Rehabilitation&consulting Services, Inc Clinic/Center 7171 Keck Park Cir Nw Ste 128, North Canton, OH 44720-6301 2015-09-03
1962893412 Genesis Eldercare Rehabilitation Services LLC Clinic/Center 261 Richmond Rd, C/o The Waterford At Richmond Heights, Richmond Heights, OH 44143-4422 2015-02-05
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Competitor

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City KENT
Zip Code 44242

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Dataset Information

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.

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