Jennifer W Krusemark-millin (NPI# 1215952262, PAC ID# 8921011339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215952262 |
| PAC ID by PECOS | 8921011339 |
| Professional Enrollment ID | I20060801000006 |
| Full Name | Jennifer W Krusemark-millin |
| Organization Legal Name | AULTMAN NORTH CANTON MEDICAL GROUP |
| Address |
4320 Cleveland Ave S Canton OH 44707-1143 |
| Phone Number | 3304842584 |
| Gender | F |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082605266 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360084 | AULTMAN HOSPITAL |
| 360070 | MERCY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2600 6th St Sw, Canton, OH 44718-1702 | 3304386333 | AULTMAN NORTH CANTON MEDICAL GROUP |
| 4320 Cleveland Ave S, Canton, OH 44707-1143 | 3304842584 | AULTMAN NORTH CANTON MEDICAL GROUP |
| 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 3304331200 | AULTMAN NORTH CANTON MEDICAL GROUP |
| Organization Legal Name | AULTMAN NORTH CANTON MEDICAL GROUP |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Baters | Nurse Practitioner | Aultman North Canton Medical Group | 2037 Wales Ave Nw, Suite 110, Massillon, OH 44646-4185 |
| Matthew J Maurice | Urology | Aultman North Canton Medical Group | 2600 W Tucarawas St, Suite 400, Canton, OH 44708-4644 |
| Marybeth Smith | Nurse Practitioner | Aultman North Canton Medical Group | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 |
| Bryan A Lewis | Nurse Practitioner | Aultman North Canton Medical Group | 6512 Whipple Ave Nw, North Canton, OH 44720-7340 |
| Amy Yoder | Qualified Audiologist | Aultman North Canton Medical Group | 832 S Main St, Suite 7 and 8, Orrville, OH 44667-2208 |
| Kevin K Hill | Internal Medicine | Aultman North Canton Medical Group | 2600 Tuscarawas St W, Suite 440, Canton, OH 44708-4698 |
| Joseph Alan Cook | Family Medicine | Aultman North Canton Medical Group | 830 Amherst Rd Ne, Suite 201, Massillon, OH 44646-8518 |
| Jennifer M Tarr | Internal Medicine | Aultman North Canton Medical Group | 2500 Wales Ave Nw, Suite A, Massillon, OH 44646-2324 |
| Julia M Fiorentino | Internal Medicine | Aultman North Canton Medical Group | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 |
| Lynette M Rennecker | Internal Medicine | Aultman North Canton Medical Group | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 |
| Street Address |
4320 CLEVELAND AVE S |
| City | CANTON |
| State | OH |
| Zip | 44707-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anthony Marcel Haeufgloeckner | Family Medicine | Aultman North Canton Medical Group | 4320 Cleveland Ave S, Canton, OH 44707-1143 |
| Benjamin H Nafziger | Podiatry | Aultman North Canton Medical Group | 4320 Cleveland Ave S, Canton, OH 44707-1143 |
| Charles J Dhyanchand | Family Medicine | Aultman North Canton Medical Group | 4320 Cleveland Ave S, Canton, OH 44707-1143 |
| Ginger Bosler | Nurse Practitioner | Aultman North Canton Medical Group | 4320 Cleveland Ave S, Canton, OH 44707-1143 |
| Mitchell Polen | Audiologist | Aultman North Canton Medical Group | 4320 Cleveland Ave S, Canton, OH 44707-1143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shakeilah C Burns | Nurse Practitioner | Lifecare Family Health and Dental Center, Inc. | 2725 Lincoln St E, Canton, OH 44707-2769 |
| Rachel L Lester | Nurse Practitioner | Lifecare Family Health and Dental Center, Inc. | 2725 Lincoln St E, Canton, OH 44707-2769 |
| Houneine John Gashash | Family Medicine | Lifecare Family Health and Dental Center, Inc. | 2725 Lincoln St E, Canton, OH 44707-2769 |
| Jodi Lynn Johnson | Nurse Practitioner | Lifecare Family Health and Dental Center, Inc. | 2725 Lincoln St E, Canton, OH 44707-2769 |
| David M Cola | Family Practice | Lifecare Family Health and Dental Center, Inc. | 2725 Lincoln St E, Canton, OH 44707-2769 |
| Kasey A Mercurio | Nurse Practitioner | Lifecare Family Health and Dental Center, Inc. | 2725 Lincoln St E, Canton, OH 44707-2769 |
| Kenneth N Wycoff | Nurse Practitioner | Lifecare Family Health and Dental Center, Inc. | 2725 Lincoln St E, Canton, OH 44707-2769 |
| Nathaniel J Leggett | Optometry | 3017 A Cleveland Ave Sw, Canton South Eyecare, Canton, OH 44707-3625 | |
| Jonnetta Hill | Nurse Practitioner | Lifecare Family Health and Dental Center, Inc. | 408 9th St Sw, Canton, OH 44707-4714 |
| City | CANTON |
| Zip Code | 44707 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CANTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jennifer W Krusemark-millin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.