DR. MICHAEL JAMES MARVIN (NPI# 1114983152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114983152 |
Entity Type | Individual |
Full Name | DR. MICHAEL JAMES MARVIN |
Credential | M.D. |
Practice Address |
3730 Whipple Ave Nw Canton OH 44718-4803 |
Mailing Address |
7421 Farmdale Ave Nw North Canton OH 44720-8803 |
Practice Telephone | 3304919675 |
Practice Fax Number | 3304911682 |
Mailing Telephone | 3304943225 |
Enumeration Date | 2006-04-26 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
35-04-8464-M | OH | Allopathic & Osteopathic Physicians |
X | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
35-04-8464-M | OH | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902821606 | Michael Alan Marvin | Podiatrist | 405a Oak Ln, South Boston, VA 24592-1633 | 2006-07-13 |
1396710125 | Michael S Marvin | Optometrist | 424 Barclay Ave, Pine River, MN 56474-0457 | 2006-02-23 |
1265455406 | Michael R Marvin | Transplant Surgery | 100 N Academy Ave, Danville, PA 17822-1348 | 2006-07-26 |
1225057987 | Michael F. Marvin | Anesthesiology | 80 S Main St, Middletown, CT 06457-3648 | 2006-07-19 |
1366483000 | Michael Marvin | Obstetrics & Gynecology | 1921 Stonecipher Blvd, Ada, OK 74820 | 2006-06-10 |
Street Address |
3730 WHIPPLE AVE NW |
City | CANTON |
State | OH |
Zip Code | 44718-4803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982602132 | Jeffrey M. Mcleod | Optometrist | 3730 Whipple Ave Nw, Suite 100, Canton, OH 44718-4803 | 2005-07-12 |
1538568555 | Accent On Eyes, LLC | Optometrist | 3730 Whipple Ave Nw, Suite 100, Canton, OH 44718-4803 | 2014-08-14 |
1942587357 | Christina Fratena | Clinical Nurse Specialist | 3730 Whipple Ave Nw, Suite 4, Canton, OH 44718-4803 | 2011-11-14 |
1295036762 | Summa Health System | Clinic/Center | 3730 Whipple Ave Nw, Suite # 500, Canton, OH 44718-4803 | 2010-11-15 |
1346373024 | Kimberly Jo Seth | Family Medicine | 3730 Whipple Ave Nw, Suite 400, Canton, OH 44718-4803 | 2007-03-13 |
1184769598 | Accent On Eyes Inc | Optometrist | 3730 Whipple Ave Nw, Suite 100, Canton, OH 44718-4803 | 2007-02-21 |
1386613453 | Steven A Manello | Optometrist | 3730 Whipple Ave Nw, Suite 100, Canton, OH 44718 | 2006-03-14 |
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 | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730103268 | James Phillip Varner | Emergency Medicine | 2324 Washington St, Suite 1, Canton, MA 02021-1159 | 2006-07-27 |
1487727525 | North Madison Physician Billing | Emergency Medicine | 1421 E Peace St, Canton, MS 39046-4938 | 2006-11-16 |
1558454579 | Mark Graham Hogan | Emergency Medicine | 201 Hospital Rd, Canton, GA 30114-2408 | 2006-10-02 |
1548366990 | Jennifer Michelle Brinckerhoff | Emergency Medicine | 1 Del Pond Dr, Canton, MA 02021-2759 | 2006-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676897 | Donald Ray Woodyard Jr. | Emergency Medicine | 6283 Eberstark Dr, Columbus, OH 43235-5087 | 2019-06-05 |
1538675129 | Village of Sardinia | Emergency Medicine | 169 Winchester St, Sardinia, OH 45171-9326 | 2017-12-19 |
1023455441 | John F Bradley | Emergency Medicine | 30 W Spring St Fl 5, Columbus, OH 43215-2241 | 2013-05-24 |
1568778140 | David Carl Ernst | Emergency Medicine | 12817 W Lake Rd, Vermilion, OH 44089-3051 | 2010-08-20 |
1205070869 | Candace L Leigh | Emergency Medicine | 3050 Taylor Ave, Cincinnati, OH 45220-2508 | 2009-04-27 |
1861551269 | Paul Michael Matus | Emergency Medicine | 90 Fairway Dr, Oberlin, OH 44074-1420 | 2006-12-08 |
1669569547 | Daniel R. Colopy | Emergency Medicine | 14 Health Dr, Chillicothe, OH 45601-8604 | 2006-10-10 |
1073623500 | Bes of Ohio, LLC, Dba Medgroup | Emergency Medicine | 6420 York Rd, Parma Heights, OH 44130-3032 | 2006-08-30 |
1487689337 | Frederick Richard Haussman | Emergency Medicine | 915 W. Michigan St., Sidney, OH 45365 | 2006-07-11 |
1740214113 | Majid A Qureshi | Emergency Medicine | 7345 Kings Gate Way, West Chester, OH 45069 | 2006-07-10 |
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.