JEFFERY SCOTT FALKNER (NPI# 1063996965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063996965 |
| Entity Type | Individual |
| Full Name | JEFFERY SCOTT FALKNER |
| Practice Address |
601 Cleveland Ave Nw Canton OH 44702-1836 |
| Mailing Address |
625 Cleveland Ave Nw Canton OH 44702-1805 |
| Practice Telephone | 3304550374 |
| Practice Fax Number | 3304536716 |
| Mailing Telephone | 3304550374 |
| Mailing Fax Number | 3304536716 |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2018-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | OCPSA4256 | OH | Other Service Providers |
| Street Address |
601 CLEVELAND AVE NW |
| City | CANTON |
| State | OH |
| Zip Code | 44702-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356365720 | Mark W Boyce | Counselor | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2006-07-27 |
| 1124629746 | Gabrielle Miller | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-11-02 |
| 1326654302 | Amanda Lint | Case Manager/Care Coordinator | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-09-16 |
| 1619581444 | Dakota Myers | Counselor | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-08-31 |
| 1700498185 | Lee A Schindler | Social Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-08-18 |
| 1174135784 | Robert L Hurless | Case Manager/Care Coordinator | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-08-17 |
| 1366078461 | Rhonda Lynn Barrow | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-03-20 |
| 1336775899 | Joelyn H Cervantez | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-03-17 |
| 1518591957 | Brianna Burger | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-02-25 |
| 1205469731 | Tracie Jane Clendenin | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
| Find all providers in zip 44702 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306329461 | Elizabeth M Bushey | Prevention Professional | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2018-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798560 | Plunketts Pest Control-varment Guard | Prevention Professional | 1001 Checkrein Ave, Columbus, OH 43229-1106 | 2020-10-23 |
| 1043822265 | Lisa E Williams | Prevention Professional | 1845 Fairfax Rd, Toledo, OH 43613-5211 | 2020-08-19 |
| 1831700996 | Deanna Goehring | Prevention Professional | 9715 Millers Fork Rd, Lewisburg, OH 45338-8974 | 2020-08-12 |
| 1306457528 | Single Parents Rock | Prevention Professional | 130 W Wenger Rd Ste D, Englewood, OH 45322-2760 | 2020-08-11 |
| 1770117954 | Marlin L Dillard | Prevention Professional | 5103 Bellefontaine Rd, Dayton, OH 45424-4163 | 2020-02-27 |
| 1164077293 | Nonya Stalnaker | Prevention Professional | 115 Spink St, Wooster, OH 44691-3651 | 2019-08-06 |
| 1619454238 | Brenda Heidinger | Prevention Professional | 222 W Federal St Ste 201, Youngstown, OH 44503-1206 | 2018-07-26 |
| 1508374950 | Traci Mason | Prevention Professional | 11671 Julie Dr Nw, Baltimore, OH 43105-9306 | 2018-01-19 |
| 1356850275 | Rebecca Ruth Jones | Prevention Professional | 1908 Seymour Ave, Cincinnati, OH 45237-4007 | 2017-09-22 |
| 1508384421 | Jamie Deakins | Prevention Professional | 8445 Munson Rd., Mentor, OH 44006 | 2017-08-30 |
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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.