ATLANTIC MEDICAL GROUP (NPI# 1770968943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770968943 |
| Entity Type | Organization |
| Organization Name | ATLANTIC MEDICAL GROUP |
| Practice Address |
3501 Lesh St Ne Canton OH 44705-4376 |
| Practice Telephone | 3304563487 |
| Practice Fax Number | 3304563895 |
| Mailing Telephone | 3304563487 |
| Mailing Fax Number | 3304563895 |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-30 |
| Authorized Official Name | SHELLEY VICTORIA SMITH (OFFICE MANAGER) |
| Authorized Official Telephone | 3304563487 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630483 | Atlantic Medical Group | Internal Medicine | 2541 N.queen St, Kinston, NC 28501-3851 | 2011-12-21 |
| 1114391927 | Atlantic Medical Group | Dietitian, Registered | 4 Josh Court, Jacksonville, Nc, NC 28546-5253 | 2015-11-17 |
| 1720375728 | Atlantic Medical Group | Specialist | 1518 Monte Sano Ave, Augusta, GA 30904-5323 | 2011-06-29 |
| 1962728394 | Atlantic Medical Group | Internal Medicine | 4 Josh Court, Jacksonville, NC 28546-5253 | 2010-04-09 |
| 1144281247 | Atlantic Medical Group | Internal Medicine | 1541 S Wickham Rd, West Melbourne, FL 32904-3540 | 2006-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ATLANTIC MEDICAL GROUP INC. | 105 Hanover St, Staten Island, Ny 10309 |
| Connecticut Business Registrations | ATLANTIC MEDICAL GROUP, INC. | 116 Granite Street, Westerly, RI 02891 |
| Street Address |
3501 LESH ST NE |
| City | CANTON |
| State | OH |
| Zip Code | 44705-4376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316004195 | Atlantic Accident and Injury Center Incorporated | Chiropractor | 3501 Lesh St Ne, Canton, OH 44705-4376 | 2007-01-02 |
| 1588150882 | Larry Whetsell II | Nurse Practitioner | 3501 Lesh St Ne, Canton, OH 44705-4376 | 2018-07-10 |
| 1679066542 | Atlantic Dme LLC | Durable Medical Equipment & Medical Supplies | 3501 Lesh St Ne, Canton, OH 44705 | 2018-06-14 |
| 1104081280 | John N Pinghero | Chiropractor | 3501 Lesh St Ne, Canton, OH 44705-4376 | 2008-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609395623 | Catherine Dana Tavares | Registered Nurse | 5321 Johnnycake Ridge Ne, Canton, OH 44705 | 2017-09-11 |
| 1790168706 | Vicki T Perrin | Home Health Aide | 3033 Endrow Ave Ne, Canton, OH 44705 | 2015-07-08 |
| 1982262432 | Ciara A Davenport | Nurse's Aide | 809 Gibbs Ave Ne, Canton, OH 44705-1009 | 2019-05-30 |
| 1952790594 | Ivory Hollamon | Home Health Aide | 1209 Lippert Rd Ne, Canton, OH 44705-1019 | 2015-01-20 |
| 1003842196 | Lana May Butcher | Home Health Aide | 1219 Lippert Rd Ne, Canton, OH 44705-1019 | 2006-06-23 |
| 1124628896 | Asia Annette Everett | Home Health Aide | 918 Rowland Ave Ne, Canton, OH 44705-1064 | 2020-10-30 |
| 1396196267 | Pennie Lynn Mathewson | Student in an Organized Health Care Education/Training Program | 1309 Lawrence Rd Ne, Canton, OH 44705-1102 | 2016-06-22 |
| 1043861982 | Ravon L. Wise | Home Health Aide | 1130 12th St Ne, Canton, OH 44705-1120 | 2019-09-23 |
| 1518412360 | Angels In Mission | In Home Supportive Care | 1043 Rowland Ave Ne, Canton, OH 44705-1166 | 2016-08-22 |
| 1386989226 | Tracey A Smith | Licensed Practical Nurse | 1210 15th St Ne, Canton, OH 44705-1208 | 2012-12-04 |
| Find all providers in zip 44705 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124297163 | Medical Care of Georgia, P.C. | Clinic/Center | 50 Medical Ln, Canton, GA 30114-2417 | 2008-02-25 |
| 1861551822 | St Lawrence County | Clinic/Center | 80 State Highway 310 Ste 2, Canton, NY 13617-1476 | 2006-12-06 |
| 1578129177 | Madison Hma LLC | Clinic/Center | 161 River Oaks Dr, Canton, MS 39046-5375 | 2019-05-20 |
| 1760821417 | Canton-potsdam Medical Practice Pllc | Clinic/Center | 80 East Main Street, Canton, NY 13617 | 2013-06-17 |
| 1134321987 | Apex Physical Medicine, Inc | Clinic/Center | 3684 Dressler Rd Nw Ste 2b, Canton, OH 44718-2781 | 2007-06-04 |
| 1598896532 | Downriver Mental Health Clinic | Clinic/Center | 6223 N Canton Center Rd, Suite 210, Canton, MI 48187-2696 | 2007-03-09 |
| 1376559799 | Mercy Medical Center, Inc. | Clinic/Center | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2006-07-31 |
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| 1225661986 | Partners In Recovery Inc | Clinic/Center | 1925 E. Livingston Ave, Suite 403, Columbus, OH 43209 | 2020-02-20 |
| 1073150009 | Redefined Counseling and Consulting | Clinic/Center | 8251 Mayfield Rd Ste 200, Chesterland, OH 44026-2567 | 2019-12-10 |
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| 1740837160 | Bf Empowerment Center LLC | Clinic/Center | 526 S Main St Ste 107, Akron, OH 44311-4401 | 2019-08-20 |
| 1497218077 | Wecare Tlc- Frontpath | Clinic/Center | 1090 W South Boundary St Ste 200, Perrysburg, OH 43551-5278 | 2019-04-10 |
| 1013474857 | Dose Anesthesia | Clinic/Center | 5423 Mahoning Ave Ste G, Austintown, OH 44515-2435 | 2019-02-28 |
| 1962986372 | Shannon Jap Md LLC | Clinic/Center | 5040 Forest Dr Ste 210, New Albany, OH 43054-8166 | 2018-09-20 |
| Find all providers with the same taxonomy | ||||
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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.