ALEKSEY A PROK (NPI# 1912942400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912942400 |
Entity Type | Individual |
Full Name | ALEKSEY A PROK |
Credential | M.D |
Practice Address |
1050 Delaware Ave Marion OH 43302-6416 |
Mailing Address |
# L-3652 Columbus OH 43260-6453 |
Practice Telephone | 7403837747 |
Practice Fax Number | 7403758180 |
Mailing Telephone | 7403837927 |
Mailing Fax Number | 7403837942 |
Enumeration Date | 2006-06-18 |
Last Update Date | 2015-10-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
35.076781 | OH | Allopathic & Osteopathic Physicians |
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
35.076781 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | ANTHEM | 000000360805 | 01 |
OH | 2136692 | 05 |
Street Address |
1050 DELAWARE AVE |
City | MARION |
State | OH |
Zip Code | 43302-6416 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093718231 | Marion Ancillary Services, LLC | Radiologic Technologist | 1050 Delaware Ave, Marion, OH 43302-6416 | 2005-05-23 |
1174164180 | Lisa Kellogg | Pain Medicine | 1050 Delaware Ave, Marion, OH 43302-6416 | 2019-10-01 |
1144738311 | Rupali Krishana Sharma | Nurse Practitioner | 1050 Delaware Ave, Marion, OH 43302-6416 | 2018-01-22 |
1700279171 | Shawn Cuevas | Anesthesiology | 1050 Delaware Ave, Marion, OH 43302-6416 | 2015-03-10 |
1518370915 | Elizabeth Ann Marron | Nurse Anesthetist, Certified Registered | 1050 Delaware Ave, Marion, OH 43302 | 2014-06-04 |
1962829192 | Danielle J. Copley | Nurse Anesthetist, Certified Registered | 1050 Delaware Ave, Marion, OH 43302-6416 | 2014-03-26 |
1649528605 | Erica L Smith | Physical Therapist | 1050 Delaware Ave, Marion, OH 43302-6416 | 2012-08-23 |
1861749848 | Nicholas A Luisi | Physician Assistant | 1050 Delaware Ave, Marion, OH 43302-6416 | 2012-08-09 |
1932465465 | Kyle Joseph Feldmann | Internal Medicine | 1050 Delaware Ave, Marion, OH 43302-6416 | 2012-04-10 |
1053683326 | Rebecca Pfeiffer | Specialist | 1050 Delaware Ave, Marion, OH 43302-6416 | 2012-02-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
Find all providers in zip 43302 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174164180 | Lisa Kellogg | Pain Medicine | 1050 Delaware Ave, Marion, OH 43302-6416 | 2019-10-01 |
1902240054 | Pain Management Care, P.C. | Pain Medicine | 707 N River Dr, Suite C, Marion, IN 46952-2765 | 2013-04-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518379205 | Ips Asc, LLC | Pain Medicine | 1210 Gemini Pl Ste 301, Columbus, OH 43240-6112 | 2014-05-29 |
1407296650 | Dili Dhanani | Pain Medicine | 222 N 5th St Ste 203, Martins Ferry, OH 43935-1582 | 2013-07-02 |
1760829303 | Cleveland Medical Institute, LLC | Pain Medicine | 6025 Commerce Cir # 2, Willoughby, OH 44094-9668 | 2013-05-22 |
1861764250 | Ferguson Chiropractic Solutions LLC | Pain Medicine | 7058 Dayton Rd, Enon, OH 45323-1439 | 2012-02-01 |
1235469768 | Tri-state Pain Management Service Inc | Pain Medicine | 3020 Hospital Dr Ste 200, Batavia, OH 45103-1923 | 2010-01-06 |
1982727061 | Charlies I. Choi Md, Inc | Pain Medicine | 902 Westpoint Pkwy, Suite 330, Westlake, OH 44145-1534 | 2007-04-06 |
1891848776 | Professional Anesthesia Associates, Inc. | Pain Medicine | 605 S Trimble Rd Ste B, Mansfield, OH 44906-4112 | 2007-01-22 |
1629131222 | Warrensville Physical Medicine & Chiropractic Rehabilitation, LLC | Pain Medicine | 4919 Warrensville Center Rd, Warrensville Hts, OH 44128 | 2006-12-18 |
1194883926 | Delta Pain Consultants, Inc. | Pain Medicine | 4602 Sawmill Rd, Columbus, OH 43220-2247 | 2006-12-05 |
1154491611 | Tim Chowdhury | Pain Medicine | 7211 Sawmill Rd, Suite A, Dublin, OH 43016-5008 | 2006-11-09 |
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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.