MR. DARRYL WAYNE PETERSON II (NPI# 1679117386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679117386 |
| Entity Type | Individual |
| Full Name | MR. DARRYL WAYNE PETERSON II |
| Practice Address |
3040 Wicker St Ne Canton OH 44721-2298 |
| Mailing Address |
2605 Broad Ave Nw Canton OH 44708-2400 |
| Practice Telephone | 2345211318 |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174579874 | Darryl W. Peterson | Orthopaedic Surgery | 2803 Earl Rudder Fwy S Ste 103, College Station, TX 77845-6099 | 2006-05-25 |
| 1760454425 | Darryl L Peterson | Physician Assistant | 600 Caisson Hill Rd, Ft Riley, KS 66442-7037 | 2006-02-06 |
| Street Address |
3040 WICKER ST NE |
| City | CANTON |
| State | OH |
| Zip Code | 44721-2298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353206 | Jeffrey W Glynn | Dentist | North Canton - Glynn Family Dental, 129 Easton St Ne, North Canton, OH 44721 | 2019-02-22 |
| 1346765807 | Arica Goffus | Registered Nurse | 7684 Lynx Ave Ne, Canton, OH 44721 | 2017-08-06 |
| 1124478060 | Jillian Foltz | Occupational Therapy Assistant | 7119 Rolling Ridge Road, Canton, OH 44721 | 2016-06-21 |
| 1427379288 | Whats Up Doc Inc | Non-emergency Medical Transport (VAN) | 6255 Middlebranch Rd. N.e, North Canton, OH 44721 | 2010-06-16 |
| 1558785113 | Axis Health Chiropractic Center, Inc. | Chiropractor | 6535 Market Ave N, Suite 201, North Canton, OH 44721 | 2014-02-18 |
| 1326189853 | Alan Kenneth Goldberg | Dentist | 129 Easton St Ne, N Canton, OH 44721 | 2007-02-09 |
| 1235371451 | Scenic View Transportation, Inc | Ambulance | 2258 Nimishillen Church Rd., Canton, OH 44721-1026 | 2009-04-02 |
| 1649663642 | Brenda Brumbaugh | Speech-Language Pathologist | 1951 Lovers Ln Ne, N Canton, OH 44721-1420 | 2015-03-15 |
| 1780871616 | Amber Lynn Smith | Art Therapist | 2414 Mount Pleasant St Ne, Canton, OH 44721-1454 | 2007-09-25 |
| 1366841736 | Rita Hissner | Licensed Practical Nurse | 3915 State St Ne, Canton, OH 44721-1527 | 2014-08-21 |
| Find all providers in zip 44721 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1134736739 | Janice Marie Mccarthy | Counselor | 12 Old Meadow Ln, Canton, MA 02021-2103 | 2020-09-28 |
| 1497374656 | Brandi Smallwood | Counselor | 147 Clifford Ct, Canton, GA 30115-9336 | 2020-04-08 |
| 1194365098 | Madyna Rancifer | Counselor | 18 Bailey Ct Apt F, Canton, MA 02021-3939 | 2020-01-09 |
| 1942847884 | Joseph Anthony Ashley | Counselor | 3805 Woodland Ave Nw, Canton, OH 44709-2533 | 2019-12-10 |
| 1376187500 | Breaking Barriers - Hope Is Alive | Counselor | 1920 Schneider St Ne, Canton, OH 44721-3352 | 2019-10-31 |
| 1518529247 | Claude Melbern Aldous | Counselor | 2746 State Highway 68, Canton, NY 13617-3842 | 2019-07-02 |
| 1255834412 | Gorrell Counseling LLC | Counselor | 4501 Hills and Dales Rd Nw Ste 202, Canton, OH 44708-1572 | 2018-03-14 |
| 1053810317 | Jessica Robby Langston | Counselor | 12 Miller St, Canton, NC 28716-3827 | 2018-02-01 |
| 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.