MITCHELL SCOTT POLEN (NPI# 1720502503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720502503 |
| Entity Type | Individual |
| Full Name | MITCHELL SCOTT POLEN |
| Credential | AUD |
| Practice Address |
6046 Whipple Ave Nw North Canton OH 44720-7616 |
| Practice Telephone | (330) 433-1450 |
| Practice Fax Number | 3304331370 |
| Mailing Telephone | 3304331450 |
| Mailing Fax Number | 3304331370 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | A02101 | OH | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PENDING | 05 |
| Street Address |
6046 WHIPPLE AVE NW |
| City | NORTH CANTON |
| State | OH |
| Zip Code | 44720-7616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194719278 | Julie A Joyce | Pediatrics | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2005-09-06 |
| 1740835115 | Shannon Urena | Physician Assistant | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2019-08-02 |
| 1780128157 | Ashley Elizabeth Kandis | Nurse Practitioner | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2016-12-05 |
| 1649626201 | Daniel Butts | Family Medicine | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2016-05-12 |
| 1437539525 | Yolanda Moore-forbes | Pediatrics | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2015-06-03 |
| 1518394311 | North Central Medical Resources, Inc. | Durable Medical Equipment & Medical Supplies | 6046 Whipple Ave Nw, Suite #210, North Canton, OH 44720-7616 | 2013-10-11 |
| 1265866651 | Sarah Anne Booth | Nurse Practitioner | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2013-08-21 |
| 1073952511 | Amy Rachelle Yoder | Audiologist | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2013-06-18 |
| 1073952685 | Gina Marie Kicos | Nurse Practitioner | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2013-06-17 |
| 1497021562 | Melissa M Beck | Nurse Practitioner | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2012-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700351251 | Mark Allan Joki | Counselor | 1303 W. Maple St., Suite 103, North Canton, OH 44720 | 2018-10-11 |
| 1700305794 | Alexis Katherine Hundley | Specialist/Technologist | 1378 Devon Drive, North Canton, OH 44720 | 2017-09-12 |
| 1376060780 | Universal Impex Inc. | Day Training, Developmentally Disabled Services | 6868 Farmcrest Cir Nw., North Canton, OH 44720 | 2017-08-25 |
| 1083066203 | Wendy Barnett | Registered Nurse | 8722 Grimes Ave Nw, North Canton, OH 44720 | 2016-07-12 |
| 1336590389 | Amanda L Cockerell | Occupational Therapy Assistant | 330 E Maple St, North Canton, OH 44720 | 2016-06-30 |
| 1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
| 1467816124 | Jami Lynn Fisher | Occupational Therapist | 6057 Strip Avenue Nw, North Canton, OH 44720 | 2016-04-08 |
| 1801255427 | Steven R Fricke | Psychologist | 239 Portage St. Ne, North Canton, OH 44720 | 2016-02-11 |
| 1396124814 | Burkins Ritchie & Assco LLC | Counselor | 1206 N. Main St, North Canton, OH 44720 | 2015-05-29 |
| 1073992590 | Max Dean Burkins | Counselor | 1206 N. Main St., North Canton, OH 44720 | 2015-05-29 |
| Find all providers in zip 44720 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780243543 | Abigail C Bavaro | Audiologist | 4828 Frank Ave Nw, North Canton, OH 44720-7426 | 2019-06-06 |
| 1851624746 | Kelly R Overcasher | Audiologist | 6647 Frank Ave Nw, North Canton, OH 44720-7259 | 2009-09-10 |
| 1356497341 | Northland Hearing Centers, Inc | Audiologist | 1206 N Main St, Suite 122, North Canton, OH 44720-1926 | 2007-01-25 |
| 1194834143 | Walter Wolosiansky | Audiologist | 4700 Massillon Rd, North Canton, OH 44720-1166 | 2006-08-30 |
| 1740219245 | Kelly Marie Byrer | Audiologist | 220 W. Maple Street, North Canton, OH 44720 | 2006-06-30 |
| 1417515503 | Megan Elizabeth Annis | Audiologist | 6647 Frank Ave Nw, North Canton, OH 44720-7259 | 2019-06-03 |
| 1376089730 | Walter B Wolosiansky | Audiologist | 4700 Massillon Rd, North Canton, OH 44720-1166 | 2017-01-10 |
| 1073952511 | Amy Rachelle Yoder | Audiologist | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2013-06-18 |
| 1053691097 | Alyse Rante-musisca | Audiologist | 6057 Strip Ave Nw, North Canton, OH 44720-9207 | 2011-08-22 |
| 1669412326 | Denise M Testa | Audiologist | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2006-06-08 |
| Find all providers in NORTH CANTON | ||||
| City | NORTH CANTON |
| Zip Code | 44720 |
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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.