MR. SHERMAN CORNELL MOORE SR. (NPI# 1710452057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710452057 |
| Entity Type | Individual |
| Full Name | MR. SHERMAN CORNELL MOORE SR. |
| Credential | CDCA II |
| Practice Address |
6693 N Chestnut St Ravenna OH 44266-3922 |
| Mailing Address |
3408 Idlewood Ave Youngstown OH 44511-3202 |
| Practice Telephone | 3302963700 |
| Mailing Telephone | 3306105279 |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2018-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
6693 N CHESTNUT ST |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629186101 | William Dustin Blueter | Chiropractor | 6693 N Chestnut St, Suite 128, Ravenna, OH 44266-3922 | 2006-08-26 |
| 1215472907 | Danny M Compton | Counselor | 6693 N Chestnut St, Ravenna, OH 44266-3922 | 2017-01-04 |
| 1922474378 | Jill Jenskovic | Audiologist | 6693 N Chestnut St, Ste 215, Ravenna, OH 44266-3922 | 2015-08-19 |
| 1235560137 | Robinson Health System, Inc. | Home Health | 6693 N Chestnut St, Suite 11a, Ravenna, OH 44266-3922 | 2013-12-03 |
| 1851721138 | Robinson Health System, Inc. | Hospice Care, Community Based | 6693 N Chestnut St, Suite 11a, Ravenna, OH 44266-3922 | 2013-11-22 |
| 1245489707 | Amy Feldmaier | Social Worker | 6693 N Chestnut St, Suite 235, Ravenna, OH 44266-3922 | 2008-09-09 |
| 1659542793 | Abdul H. Abbass, Md, Inc | Otolaryngology | 6693 N Chestnut St, Suite 21, Ravenna, OH 44266-3922 | 2008-03-17 |
| 1639356116 | Badr K. Ghumrawi, M.d. Inc. | Surgery | 6693 N Chestnut St, Suite 268a, Ravenna, OH 44266-3922 | 2008-01-27 |
| 1588862163 | Mantua Family Healthcare | Family Medicine | 6693 N Chestnut St, 10a&b, Ravenna, OH 44266-3922 | 2007-07-05 |
| 1891908539 | William D Blueter, D.c. Inc | Chiropractor | 6693 N Chestnut St, 128, Ravenna, OH 44266-3922 | 2007-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1811417090 | Cheryl K Roth | Counselor | 246 S Chestnut St, Ravenna, OH 44266-3055 | 2017-06-20 |
| 1316410202 | Justin Roth | Counselor | 246 S Chestnut St, Ravenna, OH 44266-3055 | 2019-01-03 |
| 1043761059 | Jason Sheller | Counselor | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2016-10-14 |
| 1982764247 | Cynthia Wernig Parry | Counselor | 109 E Main St, Ravenna, OH 44266-3101 | 2006-12-09 |
| 1760450563 | Compass Recovery Center, LLC | Counselor | 109 E Main St, Ravenna, OH 44266-3101 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093254 | Innovative Wellness LLC | Counselor | 4985 Smoketalk Ln, Westerville, OH 43081-4432 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1790384220 | Ron Lee Ward | Counselor | 950 E Alex Bell Rd Ste 100, Centerville, OH 45459-2721 | 2020-10-26 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1750989737 | Renea Yvonne Jagel | Counselor | 4711 Nebraska Ave, Huber Heights, OH 45424-6003 | 2020-10-13 |
| 1114524741 | Amanda Jo Sharp | Counselor | 500 Lehman Ave Ste 100, Bowling Green, OH 43402-3068 | 2020-10-06 |
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
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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.