ROBERT B PACKER (NPI# 1679572317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679572317 |
Entity Type | Individual |
Full Name | ROBERT B PACKER |
Credential | MD |
Practice Address |
1330 Mercy Dr Nw Canton OH 44708 |
Practice Telephone | 3304891454 |
Mailing Telephone | 3304891454 |
Mailing Fax Number | 3304306913 |
Enumeration Date | 2005-07-15 |
Last Update Date | 2012-05-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
35-028167 | OH | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35-028167 | OH | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | 28167 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0168983 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417948282 | Robert M Packer IIi | Internal Medicine | 711 Knight Ave, Waycross, GA 31501-1943 | 2005-11-02 |
1366453516 | Robert H Packer | Dermatology | 8550 W 38th Ave, Ste 108, Wheat Ridge, CO 80033 | 2006-08-11 |
1770564098 | Robert Charles Packer | Ophthalmology | 1266 E Sherman Blvd, Muskegon, MI 49444-1847 | 2005-11-14 |
Street Address |
1330 MERCY DR NW |
City | CANTON |
State | OH |
Zip Code | 44708 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215930946 | Mark Carless Stachel | Internal Medicine | 1330 Mercy Dr Nw, Ste 318, Canton, OH 44708-2624 | 2005-05-27 |
1407305402 | Lindsay Anne Haupt | Nurse Practitioner | 1330 Mercy Dr Nw, Canton, OH 44708-2626 | 2016-10-02 |
1902261944 | Laurie Jean Fitzgibbon | Nurse Practitioner | 1330 Mercy Dr Nw, Suite 418, Canton, OH 44708-2626 | 2015-12-17 |
1235502303 | Amanda Michelle Johnson | Nurse Practitioner | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2015-11-11 |
1245493477 | Heather B Lee | Physician Assistant | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2008-07-08 |
1992980783 | Mazin Shackour | Surgery | 1330 Mercy Dr Nw, Suite 420, Canton, OH 44708-2626 | 2007-12-31 |
1649450669 | Simonette Carol Jones | Internal Medicine | 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 | 2007-11-07 |
1649468240 | Stark Cardiothoracic Surgery, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1330 Mercy Dr Nw, Suite 410, Canton, OH 44708-2626 | 2007-10-09 |
1942414313 | Meena Rajan | Internal Medicine | 1330 Mercy Dr Nw, Canton, OH 44708-2626 | 2007-05-09 |
1922135136 | Michael Patrick Mccormack | Plastic Surgery | 1330 Mercy Dr Nw, Suite 522, Canton, OH 44708-2626 | 2007-02-27 |
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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 | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306990676 | M Hazem Raslan Md PC | Internal Medicine | 6300 N Haggerty Rd, Suite 210, Canton, MI 48187-3568 | 2007-01-23 |
1447230669 | Lyle Victor | Internal Medicine | 42180 Ford Rd Ste 201, Canton, MI 48187-3676 | 2006-01-23 |
1831415157 | Spencer Michael Lee | Internal Medicine | 460 Northside Cherokee Blvd, Ste 130, Canton, GA 30115 | 2010-04-12 |
1164600623 | Akhil Vallabhaneni | Internal Medicine | 460 Northside Cherokee Blvd Ste 130, Canton, GA 30115-8017 | 2008-02-07 |
1023223260 | Craig Neale Rosebrock | Internal Medicine | 201 Hospital Rd, Appartment Uu1, Canton, GA 30114-2408 | 2007-05-11 |
1669581799 | John T Given Md Inc | Internal Medicine | 4048 Dressler Rd Nw, Suite 100, Canton, OH 44718-2784 | 2006-08-30 |
1730122912 | Jill Denise Rossrucker | Internal Medicine | 320 Hospital Rd, Canton, GA 30114-2410 | 2006-06-14 |
1659320224 | Cherokee Lung & Sleep Specialists, P.C. | Internal Medicine | 15 Reinhardt College Pkwy, Suite 108, Canton, GA 30114-5257 | 2006-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326672171 | National Lung and Sleep Medicine LLC | Internal Medicine | 1695 Big Bear Dr, Centerville, OH 45458-3692 | 2020-03-02 |
1588225932 | Summa Physicians Inc | Internal Medicine | 1700 Boettler Rd Ste 250, Uniontown, OH 44685-6211 | 2019-06-26 |
1144726605 | Venkataramanaiah Pulivarthi | Internal Medicine | 7976 Ravine Run Ln, Columbus, OH 43235-6454 | 2018-04-03 |
1407378409 | Francisco A. Mateo, M.d. Inc. | Internal Medicine | 2094 E State St Ste G, Salem, OH 44460-4409 | 2017-07-11 |
1134520992 | Eduardo Caspe Casalmir | Internal Medicine | 1551 Shore Woods Dr, Dayton, OH 45459-1474 | 2014-09-11 |
1215359807 | William Schlechter | Internal Medicine | 7056 Royalgreen Dr, Cincinnati, OH 45244-3621 | 2014-01-15 |
1174814271 | Morisetty Medical Associates, Inc. | Internal Medicine | 1 Ross Park Blvd Ste G-3, Steubenville, OH 43952-2681 | 2011-04-22 |
1053636944 | Tejinder Singh Bal | Internal Medicine | 3642 Tippecanoe Pl, Canfield, OH 44406-9531 | 2010-04-02 |
1902131071 | Michael William Craig | Internal Medicine | 4482 Blairgowrie Cir, Dayton, OH 45429-1853 | 2009-10-07 |
1518195478 | Integrated Health Services Management | Internal Medicine | 6820 Ridge Rd Ste 204, Parma, OH 44129-5647 | 2009-06-30 |
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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.