VETERANS ADMINISTRATION (NPI# 1366536393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366536393 |
| Entity Type | Organization |
| Organization Name | VETERANS ADMINISTRATION |
| Practice Address |
733 Market Ave S Canton OH 44702-2165 |
| Mailing Address |
2600 Westdale Rd Nw Canton OH 44708-1245 |
| Practice Telephone | 3304894600 |
| Mailing Telephone | 3304774437 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MIGUEL AVENIDO (RADIOLOGIST) |
| Authorized Official Telephone | 3304894600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 35028791 | OH | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184159725 | Veterans Administration | Psychiatric Unit | 4455 Horizon Hill, San Antonio, TX 78229 | 2017-04-20 |
| 1407380298 | Veterans Administration | Substance Abuse Rehabilitation Facility | 13418 Coram Peak St, San Antonio, TX 78248-1202 | 2017-04-18 |
| 1285994400 | Veterans Administration | General Acute Care Hospital | 1901 Berkeley St., Salt Lake City, UT 84108 | 2012-05-22 |
| 1255698288 | Veterans Administration | Clinic/Center | 7 Lavenham Rd, Novato, CA 94949-6296 | 2012-04-16 |
| 1942450721 | Veterans Administration | Military Hospital | 105 W Maryland Ave, Crewe, VA 23930-1809 | 2008-09-29 |
| 1538289491 | Veterans Administration | Psychiatric Unit | 6390 Cash Mountain Rd, Malvern, AR 72104-9137 | 2007-04-01 |
| 1588752885 | Veterans Administration | Substance Abuse Rehabilitation Facility | 1-h Circle Drive, Perry Point, MD 21902 | 2006-10-11 |
| 1558453571 | Veterans Administration | General Acute Care Hospital | 5516 Vansville Way, Las Vegas, NV 89130-3601 | 2006-09-28 |
| 1235230848 | Veterans Administration | Clinic/Center | 3315 Chanate Rd Ste 1b, Santa Rosa, CA 95404-1740 | 2006-09-26 |
| 1518067537 | Veterans Administration | Clinic/Center | 10 Hazelwood Ct, Attleboro, MA 02703-1564 | 2006-09-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS ADMINISTRATION MEDICAL CENTER | 500 W Fort St., Boise, ID 83702-4501 |
| New York State Corporations | VETERANS ADMINISTRATION SARATOGA NATIONAL CEMETERY SUPPORT COMMITTEE INC. | 200 Duell Road, Schuylerville, Ny 12871 |
| Street Address |
733 MARKET AVE S |
| City | CANTON |
| State | OH |
| Zip Code | 44702-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124084777 | Jacqueline Ann Suppan | Clinical Nurse Specialist | 733 Market Ave S, Canton, OH 44702-2165 | 2006-04-24 |
| 1700411287 | Lindsea Noel Moore | Dietitian, Registered | 733 Market Ave S, Canton, OH 44702-2165 | 2020-03-05 |
| 1396280376 | Jeffrey William Powers | Nurse Practitioner | 733 Market Ave S, Canton, OH 44702 | 2016-12-29 |
| 1255880282 | Kristen Leigh Snyder | Social Worker | 733 Market Ave S, Canton, OH 44702-2165 | 2016-10-03 |
| 1023464682 | John Peterson | Counselor | 733 Market Ave S, Canton, OH 44702-2165 | 2016-05-12 |
| 1104206945 | Andrea Crayden | Social Worker | 733 Market Ave S, Canton, OH 44702-2165 | 2015-06-07 |
| 1063825537 | Christina Carpenter | Nurse Practitioner | 733 Market Ave S, Canton, OH 44702-2165 | 2014-06-03 |
| 1326470493 | Scott Michael Lautensleger | Social Worker | 733 Market Ave S, Canton, OH 44702-2165 | 2013-07-31 |
| 1700228269 | Kenneth N Wycoff | Nurse Practitioner | 733 Market Ave S, Canton, OH 44702-2165 | 2013-07-25 |
| 1710275680 | Sandra Kaye Shaw | Nurse Practitioner | 733 Market Ave S, Canton, OH 44702-2165 | 2011-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992936991 | Oakwood Hospital and Medical Center | General Acute Care Hospital | 8562 Chatham Dr, Canton, MI 48187-4456 | 2009-08-07 |
| 1497980668 | Krystal Ann Martin | General Acute Care Hospital | 45044 Fair Oaks Dr, Canton, MI 48187-5008 | 2009-05-18 |
| 1164664124 | George Papacostas, LLC | General Acute Care Hospital | 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 | 2009-04-06 |
| 1679746036 | Physician Assistant Services | General Acute Care Hospital | 45900 Geddes Rd, Canton, MI 48188-2306 | 2008-04-08 |
| 1194770404 | Madison Hma LLC | General Acute Care Hospital | 161 River Oaks Dr, Canton, MS 39046-5375 | 2006-05-24 |
| 1316597644 | Graham Hospital Association | General Acute Care Hospital | 180 S Main St, Canton, IL 61520-2608 | 2019-09-18 |
| 1750833109 | Susan Michele Gramling | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-02 |
| 1194277442 | Cynthia Paige Hemphill | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-02 |
| 1487106878 | Candance Niccole Rhodes | General Acute Care Hospital | 201 Hospital Rd, Canton, GA 30114-2408 | 2016-11-01 |
| 1942751151 | Northside Hospital Cherokee | General Acute Care Hospital | 201 Hospital Rd, Pharmacy Department, Canton, GA 30114-2408 | 2016-10-24 |
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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.