DR. JOHN CHARLES ANDREOZZI (NPI# 1194717454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194717454 |
Entity Type | Individual |
Full Name | DR. JOHN CHARLES ANDREOZZI |
Credential | MD |
Practice Address |
1660 Nave Rd Se Massillon OH 44646 |
Mailing Address |
3325 Sumser St Nw North Canton OH 44720-7954 |
Practice Telephone | 3308379411 |
Practice Fax Number | 3308374603 |
Mailing Telephone | 3304997219 |
Mailing Fax Number | 3305882216 |
Enumeration Date | 2005-08-22 |
Last Update Date | 2018-07-30 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
35038342 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | UNICARE-LIFE&HEALTH | 000000132772 | 01 |
OH | RAILROAD MEDICARE | 010057157 | 01 |
OH | ANTHEM BCBS | 000000132772 | 01 |
OH | 0447396 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255477667 | John A Andreozzi | Social Worker | 1919 University Ave W Ste 200, Saint Paul, MN 55104-3435 | 2007-01-30 |
Street Address |
1660 NAVE RD SE |
City | MASSILLON |
State | OH |
Zip Code | 44646 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053933713 | Brittney A Egan | Counselor | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2020-05-15 |
1639705023 | Natalie A D'amato | Counselor | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2020-03-17 |
1477193043 | Jennifer Creter | Counselor | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2020-01-13 |
1639717861 | Joshua Dallas Lovejoy | Registered Nurse | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-12-18 |
1811539620 | Denver Scott Moore | Counselor | 1660 Nave Rd Se, Massillon, OH 44646 | 2019-10-14 |
1679124960 | Robert R Lane IIi | Counselor | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-09-27 |
1235786724 | Toni Lynn Howard | Registered Nurse | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-08-20 |
1356994685 | Patricia Jn Davis | Registered Nurse | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-07-16 |
1396305090 | Deborah S Swinehart | Registered Nurse | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-06-17 |
1215499736 | Kimberly Kay Robertson | Registered Nurse | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-04-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
Find all providers in zip 44646 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
1689211898 | Jessica Lynn Rothgeb | Psychiatry & Neurology | 1510 Seneca St, Sandusky, OH 44870-3059 | 2019-12-06 |
1023213105 | Richard Joseph Defranco | Psychiatry & Neurology | 12409 Lorain Ave, Cleveland, OH 44111-3515 | 2007-06-18 |
1871685347 | Pythias Damon Jones | Psychiatry & Neurology | 3645 Warrensville Center Rd, #216, Shaker Heights, OH 44122-5247 | 2006-09-29 |
1649383340 | North Canton Medical Foundation | Psychiatry & Neurology | 6513 Frank Ave Nw, North Canton, OH 44720-7265 | 2006-08-16 |
1528021201 | Mary J Gombash | Psychiatry & Neurology | 4571 Westbourne Rd, Toledo, OH 43623-2015 | 2006-04-11 |
1952373268 | Billy Oral Barclay | Psychiatry & Neurology | 1654 Upham Dr, Columbus, OH 43210-1250 | 2006-02-02 |
1245228717 | Richard A Nockowitz | Psychiatry & Neurology | 1800 Allentown Rd, Lima, OH 45805-1873 | 2005-10-10 |
1356338222 | Giridhar Singh | Psychiatry & Neurology | 349 Olde Ridenour Rd, Gahanna, OH 43230-2528 | 2005-10-05 |
1023017720 | Azeem Qureshi | Psychiatry & Neurology | 4425 Wyandotte Woods Blvd, Dublin, OH 43016-8661 | 2005-07-15 |
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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.