MERCY MEDICAL CENTER, INC. (NPI# 1194155549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194155549 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER, INC. |
| Other Organization Name | MERCY MEDICAL CENTER |
| Practice Address |
1320 Mercy Dr Nw Canton OH 44708-2614 |
| Practice Telephone | 3304891000 |
| Mailing Telephone | 3304891000 |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |
| Authorized Official Name | MR. DAVID K STEWART (SR. VICE PRESIDENT & CFO) |
| Authorized Official Telephone | 3304891131 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY MEDICAL CENTER, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0298771 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215106133 | Mercy Medical Center, Inc. | Surgery | 2700 Nw Stewart Parkway, Roseburg, OR 97471 | 2008-02-25 |
| 1649208802 | Mercy Medical Center, Inc. | Hospice Care, Community Based | 2675 Nw Edenbower Blvd Ste 200, Roseburg, OR 97471-6201 | 2006-06-28 |
| 1609811181 | Mercy Medical Center, Inc. | Home Health | 2675 Nw Edenbower Blvd, Roseburg, OR 97471-6201 | 2006-06-18 |
| 1841241270 | Mercy Medical Center, Inc. | Home Health | 7568 Whipple Ave Nw, North Canton, OH 44720-6922 | 2006-05-12 |
| 1013450287 | Mercy Medical Center, Inc. | Surgery | 2700 Nw Stewart Pkwy, Roseburg, OR 97471-1281 | 2016-11-21 |
| 1306182332 | Mercy Medical Center, Inc. | General Acute Care Hospital | 1031 W High Ave, New Philadelphia, OH 44663-2071 | 2012-12-19 |
| 1023362100 | Mercy Medical Center, Inc. | Clinic/Center | 1459 Superior Ave Ne, Canton, OH 44705-1964 | 2012-10-29 |
| 1326282807 | Mercy Medical Center, Inc. | Clinical Medical Laboratory | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2009-04-28 |
| 1225231103 | Mercy Medical Center, Inc. | Prosthetic/Orthotic Supplier | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2007-06-07 |
| 1811038367 | Mercy Medical Center, Inc. | Psychiatric Unit | 2700 Nw Stewart Pkwy, Roseburg, OR 97470-1281 | 2007-02-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC | 301 Saint Paul Pl, Baltimore, MD 21202-2102 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC. | 1320 Mercy Dr Nw, Canton, OH 44708-2614 |
| Oregon Corporations, Companies and Business Names | MERCY MEDICAL CENTER, INC. | 2700 Stewart Parkway, Roseburg, OR 97471 |
| Street Address |
1320 MERCY DR NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206230 | Community Dialysis Units, LLC | Clinic/Center | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2005-06-22 |
| 1295333193 | Danielle Kaya | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-10-13 | |
| 1831796655 | Melissa Lynn Alex | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-10-05 |
| 1902403181 | Katherine Mary Anderson | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-10-01 |
| 1154938496 | Kristen Nicole Wheeler | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-30 |
| 1669089801 | Mary Lou Keener | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-30 |
| 1316553175 | Victoria Watt | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-17 |
| 1124633474 | Lauren Angus | Nurse Anesthetist, Certified Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-09-14 |
| 1316550189 | Ryan Daniel Hickey | Nurse Anesthetist, Certified Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-31 |
| 1669082772 | Cynthia Marie Colt | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-04 |
| 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 | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262350 | Delta Renal Care Pllc | Clinic/Center | 3981 Elizabeth Ave, Canton, MI 48188-7223 | 2020-07-07 |
| 1487112942 | Michigan Dialysis Services, LLC | Clinic/Center | 275 N Canton Center Rd, Canton, MI 48187 | 2019-03-04 |
| 1629596267 | Isd Renal Inc | Clinic/Center | 2912 W Tuscarawas St, Canton, OH 44708-4643 | 2017-09-05 |
| 1174044093 | Fresenius Medical Care Stark County, LLC | Clinic/Center | 2835 Tuscarawas St. W, Canton, OH 44708-4600 | 2017-06-30 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| 1619332574 | Detroit Medical Center | Clinic/Center | 43205 Creekview Dr, Canton, MI 48187-3049 | 2015-12-19 |
| 1932522950 | Innovative Home Dialysis of Georgia, LLC | Clinic/Center | 3753 Marietta Hwy, Suite 100, Canton, GA 30114-8328 | 2014-01-27 |
| 1144467747 | My Father's House Dialysis Care Facility,llc | Clinic/Center | 1200 30th St Nw, Canton, OH 44709-2923 | 2009-01-19 |
| 1861643579 | Total Renal Care Inc | Clinic/Center | 4377 Whipple Ave Nw, Canton, OH 44718-2643 | 2008-10-01 |
| 1861649535 | Bio-medical Applications of Michigan, Inc. | Clinic/Center | 6064 N Sheldon Rd, Canton, MI 48187-2861 | 2008-08-25 |
| 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.