INDEPENDENT PROVIDER (NPI# 1992910863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992910863 |
| Entity Type | Organization |
| Organization Name | INDEPENDENT PROVIDER |
| Practice Address |
308 W 1st St Arcanum OH 45304-1167 |
| Practice Telephone | 9376928081 |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID MARTIN FERGUSON (INDEPENDENT) |
| Authorized Official Telephone | 9376928081 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033650163 | Independent Provider | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 288 E 248th St, Euclid, OH 44123-1437 | 2017-03-08 |
| 1558718023 | Independent Provider | Early Intervention Provider Agency | 3800 W 106th St, Chicago, IL 60655-3815 | 2016-05-15 |
| 1285018572 | Independent Provider | Home Health | 4175 Arbury Lane, Columbus, OH 43224 | 2015-07-16 |
| 1699178723 | Independent Provider | Preferred Provider Organization | 5659 Troy Villa Blvd, Dayton, OH 45424-2645 | 2014-10-03 |
| 1023423571 | Independent Provider | Preferred Provider Organization | 3664 Larkwell Way, Columbus, OH 43232-3611 | 2014-06-24 |
| 1265627111 | Independent Provider | Licensed Vocational Nurse | 3277 Kady Ln, Columbus, OH 43232-7455 | 2007-09-12 |
| 1821217308 | Independent Provider | Exclusive Provider Organization | 2273 Newlove Rd, S Charleston, OH 45368-9732 | 2007-04-24 |
| Street Address |
308 W 1ST ST |
| City | ARCANUM |
| State | OH |
| Zip Code | 45304-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144753534 | Kayla Johnston | Physical Therapist | 6941 Delisle Fourman Rd, Arcanum, OH 45304 | 2017-04-04 |
| 1528324647 | Bret A. French | Pharmacist | 605 N. Wayne Street, Kaup Pharmacy Inc, Arcanum, OH 45304 | 2012-04-03 |
| 1659510691 | Arcanum-butler Local School District | Local Education Agency (LEA) | 2011 Trojan Ave, Arcanum, OH 45304 | 2009-02-16 |
| 1518990563 | Arcanum Community Rescue Squad Inc. | Ambulance | 202 S Main St, Arcanum, OH 45304 | 2006-07-09 |
| 1306014923 | Cathy L Penquite | Licensed Practical Nurse | 114 W George St, Apt. C, Arcanum, OH 45304-1109 | 2008-02-16 |
| 1316034754 | James Lee Brock | Technician/Technologist | 108 W George St, Arcanum, OH 45304-1109 | 2006-10-06 |
| 1205998697 | Gregory Ermenc | Dentist | 1 S High St, Arcanum, OH 45304-1118 | 2006-12-14 |
| 1992989412 | Modern Dental Professionals-lee,inc | Dentist | 1 S High St, Arcanum, OH 45304-1118 | 2007-12-19 |
| 1255760559 | David M Ferguson | Home Health Aide | 308 W First St, Arcanum, OH 45304-1167 | 2013-11-06 |
| 1134215619 | Peter Herr | Psychologist | 310 S High St, Arcanum, OH 45304-1212 | 2006-10-04 |
| Find all providers in zip 45304 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467911 | Angela Lynn Jarvis Mccullen | Respite Care | 3181 Jaber Dr, Akron, OH 44312-3638 | 2020-11-03 |
| 1093315038 | Lisa Marie Weyrick | Respite Care | 6211 N Oval Rd, New Franklin, OH 44216-9318 | 2020-10-29 |
| 1558961797 | Michel Lockett | Respite Care | 1629 Miami Ave, Fairborn, OH 45324-3009 | 2020-10-27 |
| 1255930970 | Derek E Fischer | Respite Care | 8121 Mill Creek Cir, West Chester, OH 45069-5804 | 2020-10-23 |
| 1518566199 | Jessica Cleveland | Respite Care | 4112 Monticello Blvd Apt 101, Youngstown, OH 44505-1757 | 2020-10-23 |
| 1679188999 | Diana L Pogue | Respite Care | 11380 Brady Ln, Strongsville, OH 44149-2832 | 2020-09-14 |
| 1841805488 | Sarah Lynn Miller | Respite Care | 5 Greencliff Dr, Union, OH 45322-3133 | 2020-09-10 |
| 1023623972 | Carol Ann Sarver | Respite Care | 7062 Mela Ct, Springboro, OH 45066-7007 | 2020-09-08 |
| 1598393431 | Janice Gale Molesky | Respite Care | 6253 Zilpha Ct, Fairfield Township, OH 45011-7839 | 2020-03-27 |
| 1538709175 | Lindsay Robin Strunk | Respite Care | 127 Paddle Wheel Dr, New Richmond, OH 45157-8553 | 2020-01-12 |
| 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.