MIDGE ANN CLARK (NPI# 1053933283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053933283 |
| Entity Type | Individual |
| Full Name | MIDGE ANN CLARK |
| Credential | LPN |
| Practice Address |
2421 13th St Nw Canton OH 44708-3116 |
| Mailing Address |
5982 Rhodes Rd Kent OH 44240-8100 |
| Practice Telephone | 3304301231 |
| Mailing Telephone | 3306731347 |
| Mailing Fax Number | 3306783677 |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | LPN.169251.MEDS- | OH | Nursing Service Providers |
| Street Address |
2421 13TH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679682736 | Cynthia L Daugherty | Counselor | 2421 13th St Nw, Canton, OH 44708-3116 | 2006-08-30 |
| 1073110664 | Juliana Pondur | Registered Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-10-06 |
| 1487265930 | Raymond Neal Menefee | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-08-10 |
| 1609493766 | Samantha Clare May | Case Manager/Care Coordinator | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-07-06 |
| 1083231146 | Lindsey Ann Breitfeller | Social Worker | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-07-06 |
| 1932729837 | Latoya Hicks-gooden | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-04-21 |
| 1528694908 | Chantel Dominique Stewart | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-03-18 |
| 1154952448 | Jessica A Eicher | Counselor | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-01-27 |
| 1881237915 | Charletta Ann Gibbs | Case Manager/Care Coordinator | 2421 13th St Nw, Canton, OH 44708-3116 | 2019-10-22 |
| 1558917948 | Kortney Baker | Nurse's Aide | 2421 13th St Nw, Canton, OH 44708-3116 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063012227 | Stephanie Ann Mcknight | Licensed Practical Nurse | 2513 Zircon St Ne, Canton, OH 44721-1762 | 2020-10-27 |
| 1457950826 | Crystal Rae Macey | Licensed Practical Nurse | 127 51st St Se, Canton, OH 44707-1013 | 2020-10-18 |
| 1154937142 | Heather Anne Houston | Licensed Practical Nurse | 2416 9th St Sw, Canton, OH 44710-1807 | 2020-09-16 |
| 1184234494 | Regina M Cross | Licensed Practical Nurse | 230 Cayuga Ave Nw, Canton, OH 44708-5229 | 2020-08-03 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1386277945 | Travisha Lucius | Licensed Practical Nurse | 1610 Ohio Ave Ne, Canton, OH 44705-1847 | 2020-02-21 |
| 1689206914 | Sade Marie Bradford | Licensed Practical Nurse | 1515 Lippert Rd Ne, Canton, OH 44705-1319 | 2020-02-05 |
| 1326681545 | Tera Vance | Licensed Practical Nurse | 2120 Superior Ave Ne, Canton, OH 44705-2438 | 2019-10-21 |
| 1386293090 | Moshalai Jewell | Licensed Practical Nurse | 3517 12th St Sw, Canton, OH 44710-1503 | 2019-09-05 |
| Find all providers in CANTON | ||||
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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.