MARY BETH MARBURGER (NPI# 1104106160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104106160 |
| Entity Type | Individual |
| Full Name | MARY BETH MARBURGER |
| Credential | CRNP |
| Practice Address |
4151 Holiday St Nw Canton OH 44718-2531 |
| Practice Telephone | 3304928001 |
| Practice Fax Number | 3304922080 |
| Mailing Telephone | 3304928001 |
| Mailing Fax Number | 3304922080 |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2016-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
COA.12554-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4151 HOLIDAY ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366438046 | Thomas D Robinson | Specialist | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2005-09-27 |
| 1679955462 | Desiree J.e. Blake | Registered Nurse | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2015-06-29 |
| 1285848333 | Breeze M Goodrich | Obstetrics & Gynecology | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2007-05-09 |
| 1053539866 | Sara L Lemin | Specialist | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2007-04-24 |
| 1568596864 | Jaime L Fox | Nurse Practitioner | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2007-03-16 |
| 1235262353 | Carol A Haupt | Nurse Practitioner | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2007-03-14 |
| 1306979661 | Stephanie I Hawkins | Nurse Practitioner | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2007-03-14 |
| 1699731877 | Craig Scott O'dear | Obstetrics & Gynecology | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2006-04-25 |
| 1598752669 | James R Wilson | Specialist | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2005-10-04 |
| 1922094622 | G Robert Fitz | Specialist | 4151 Holiday St Nw, Canton, OH 44718-2531 | 2005-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275662157 | Theresa Bankert | Nurse Practitioner | 700 E Oak St, Canton, IL 61520-3157 | 2007-03-05 |
| 1518023407 | Sue Ann Mathieu | Nurse Practitioner | 2663 Cleveland Ave Nw, Canton, OH 44709 | 2006-12-28 |
| 1255320701 | Deborah Kay Darnell | Nurse Practitioner | 2663 Cleveland Avenue Nw, Canton, OH 44709-3393 | 2005-10-18 |
| 1679761860 | Jennifer S Hostetler | Nurse Practitioner | 2600 7th St Sw, Canton, OH 44710-1709 | 2007-10-12 |
| 1508054115 | Kimberly S Myford | Nurse Practitioner | 1455 Harrison Ave Nw, 200, Canton, OH 44708-2621 | 2007-10-09 |
| 1578766218 | Judith Ann Simmons Juraco | Nurse Practitioner | 700 E Oak St, Canton, IL 61520-3157 | 2007-06-08 |
| 1326163445 | Nina Elizabeth Pringle | Nurse Practitioner | 5000 Higbee Ave Nw, Canton, OH 44718-2522 | 2007-03-20 |
| 1811025059 | Emily G Wilford | Nurse Practitioner | 2663 Cleveland Ave Nw, Canton, OH 44709-3393 | 2007-03-01 |
| 1508904038 | Barbara B. Allen | Nurse Practitioner | 1219 Univeter Rd, Canton, GA 30115-8261 | 2007-02-05 |
| 1063569481 | Richele Lynn Thompson | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2007-01-05 |
| 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.