AULTMAN HOSPITAL (NPI# 1902904253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902904253 |
| Entity Type | Organization |
| Organization Name | AULTMAN HOSPITAL |
| Other Organization Name | AULTMAN INFUSION SERVICES |
| Practice Address |
2600 Sixth St Sw Canton OH 44710-1702 |
| Practice Telephone | 3303631410 |
| Practice Fax Number | 3303632380 |
| Mailing Telephone | 3303631410 |
| Mailing Fax Number | 3303632380 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-01-30 |
| Authorized Official Name | MRS. LINDA M CASEY (ASSOCIATE VICE PRESIDENT) |
| Authorized Official Telephone | 3304794800 |
| Authorized Official Credential | RN |
| Is Organization Subpart | Y |
| Parent Organization Name | AULTMAN HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
020736200 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0926976 | 05 |
| Other Name | Type Code |
|---|---|
| Aultman Infusion Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497202857 | Aultman Hospital | Specialist | 4650 Hills and Dales Road Nw, Canton, OH 44708-6221 | 2016-09-02 |
| 1740222009 | Aultman Hospital | Rehabilitation Unit | 2821 Woodlawn Ave Nw, Canton, OH 44708-1423 | 2006-06-12 |
| 1124628094 | Aultman Hospital | Pharmacy | 6100 Whipple Ave Nw, North Canton, OH 44720-7618 | 2020-10-29 |
| 1033479886 | Aultman Hospital | General Acute Care Hospital | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2012-05-25 |
| 1700941978 | Aultman Hospital | Pharmacy | 2600 6th St Sw, Canton, OH 44710-1702 | 2006-12-27 |
| 1437248887 | Aultman Hospital | General Acute Care Hospital | 2600 6th St Sw, Canton, OH 44710-1702 | 2006-10-12 |
| 1700972601 | Aultman Hospital | Hospice Care, Community Based | 2821 Woodlawn Ave Nw, Canton, OH 44708-1423 | 2006-10-05 |
| 1669568564 | Aultman Hospital | Home Health | 2821 Woodlawn Ave Nw, Canton, OH 44708-1423 | 2006-10-05 |
| 1265458186 | Aultman Hospital | General Acute Care Hospital | 2600 6th St Sw, Canton, OH 44710-1702 | 2006-07-14 |
| 1356366991 | Aultman Hospital | General Acute Care Hospital | 2600 6th St Sw, Canton, OH 44710-1702 | 2006-07-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | AULTMAN HOSPITAL | 2600 6th St Sw, Canton, OH 44710-1702 |
| Street Address |
2600 SIXTH ST SW |
| City | CANTON |
| State | OH |
| Zip Code | 44710-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619258 | Roberto Novoa | Specialist | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2005-06-15 |
| 1730788647 | Gwendolyn Shumaker | Nurse Practitioner | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-10-21 |
| 1023633088 | Harry Garrett Oldland | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-06-15 |
| 1063036754 | Mena Habib Morcos | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-29 |
| 1649891185 | Kathy Jane Minger | Registered Nurse | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-06 |
| 1376164186 | Abigail Chauvin | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-05-04 |
| 1285254508 | Erik Keim | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1568082881 | Samantha Patterson | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1104446327 | Varun Rakesh Ravindran | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| 1306466537 | Brittany Gast | Student in an Organized Health Care Education/Training Program | 2600 Sixth St Sw, Canton, OH 44710-1702 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093219024 | Philip Anthony Femano IIi | Student in an Organized Health Care Education/Training Program | Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 | 2018-03-23 |
| 1962949883 | Chauntelle Andrews | Nursing Care | 3210 14th St Sw, Canton, OH 44710 | 2017-01-30 |
| 1770032146 | Tammy Lamotte | Registered Nurse | 3302 11th St Sw, Canton, OH 44710 | 2016-09-27 |
| 1861898280 | Heather Nicole Burrier | Registered Nurse | 2823 9th St. Sw, Cedar School, Canton, OH 44710 | 2014-11-12 |
| 1437569688 | Kameika Thomas | Licensed Practical Nurse | 2704 9th St Sw, Canton, OH 44710 | 2014-04-28 |
| 1578836672 | Julie J Marsh | Dietitian, Registered | Aultman Hospital, 2600 Sixth Street Sw, Canton, OH 44710 | 2012-02-21 |
| 1043444649 | Laurie L Hanne | Internal Medicine | 2600 6th St.sw, Canton, OH 44710 | 2009-05-11 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1598904419 | Donna Fall Blackwell | Nurse Practitioner | 2600 6th Street, Canton, OH 44710 | 2009-02-17 |
| 1013012897 | Daniel Wasdahl | Pathology | 2600 6th St, Canton, OH 44710 | 2006-09-14 |
| Find all providers in zip 44710 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942303110 | Walgreens Specialty Pharmacy LLC | Pharmacy | 41460 Haggerty Cir S, Canton, MI 48188 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841581246 | Clinical Specialties Inc | Pharmacy | 6361 Nicholas Dr, Columbus, OH 43235-5204 | 2011-04-20 |
| 1013226612 | Gold Medical | Pharmacy | 1799 W 5th Ave, Suite 252, Columbus, OH 43212-2322 | 2010-09-29 |
| 1164741377 | Legacy Infusion Services, LLC | Pharmacy | 9969 Cincinnati Dayton Rd, West Chester, OH 45069-3823 | 2010-05-27 |
| 1871652289 | In Home Health, LLC | Pharmacy | 333 N. Summit St, 16th Floor; Licensure & Certification, Toledo, OH 43604-2615 | 2006-12-08 |
| 1841389533 | Curascript Infusion Pharmacy, Inc. | Pharmacy | 29313 Clemens Rd, Ste 2 L, Westlake, OH 44145-1052 | 2006-10-12 |
| 1306938345 | Mercy Health Youngstown, LLC | Pharmacy | 979 Tibbetts Wick Rd, Suite A, Girard, OH 44420-1182 | 2006-09-28 |
| 1699878165 | Homereach | Pharmacy | 404 East Wilson Bridge Road, Suite H, Worthington, OH 43085-2369 | 2006-09-07 |
| 1134137946 | Csi Managed Care Inc. | Pharmacy | 6955 Treeline Dr, Brecksville, OH 44141-3393 | 2006-08-04 |
| 1619943115 | Braden Med Services Inc | Pharmacy | 44519 Marietta Rd, Caldwell, OH 43724-9209 | 2006-02-24 |
| 1508850926 | Amerimed, Inc. | Pharmacy | 9961 Cincinnati Dayton Rd, West Chester, OH 45069-3823 | 2005-08-31 |
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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.