MARVIN R. BOREN (NPI# 1356322283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356322283 |
| Entity Type | Individual |
| Full Name | MARVIN R. BOREN |
| Credential | DPM |
| Practice Address |
4642 Hills Dales Rd Nw Canton OH 44708-1510 |
| Mailing Address |
4642 Hills Dales Rd Nw Canton OH 44708 |
| Practice Telephone | 3304774400 |
| Mailing Telephone | 3304774400 |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2008-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 36001949 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0433169 | 05 |
| Street Address |
4642 HILLS DALES RD NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023293412 | Advanced Foot and Ankle Care | Podiatrist | 4642 Hills Dales Rd Nw, Canton, OH 44708-1510 | 2008-01-03 |
| 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 | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1083008221 | Donald A Leright Dpm Pllc | Podiatrist | 46036 Michigan Ave, Suite 286, Canton, MI 48188-2304 | 2015-03-25 |
| 1023458304 | Evan Michael Lewis | Podiatrist | 147 Reinhardt College Pkwy Ste 10, Canton, GA 30114-5295 | 2013-07-01 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1457562175 | Janay L Harper Dpm Pllc | Podiatrist | 156 River Oaks Dr Ste B, Canton, MS 39046-5376 | 2007-05-24 |
| 1790868826 | Hon W Fong Dpm Pllc | Podiatrist | 2050 N Haggerty Rd Ste 120, Canton, MI 48187-3796 | 2006-10-23 |
| 1871675009 | George Madson Kemper Jr. | Podiatrist | 5454 Fulton Dr Nw, Canton, OH 44718-1727 | 2006-10-19 |
| 1215027420 | Robert I Lubin | Podiatrist | 8552 N Canton Center Rd, Canton, MI 48187-1310 | 2006-10-16 |
| 1750477493 | Thomas Richard Nystrom | Podiatrist | 80 East Main St, Canton, NY 13617 | 2006-10-04 |
| 1982795365 | Canton Podaitry Associates | Podiatrist | 742 Washington St, Canton, MA 02021-3039 | 2006-09-28 |
| 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.