JENNIFER A DRAKE


Address: 4105 Holiday St Nw, Canton, OH 44718-2531
Phone: 3304942097

JENNIFER A DRAKE (NPI# 1437367570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437367570
Entity Type Individual
Full Name JENNIFER A DRAKE
Credential DO
Practice Address 4105 Holiday St Nw
Canton
OH 44718-2531
Mailing Address Po Box 35006
Canton
OH 44735-5006
Practice Telephone 3304942097
Practice Fax Number 3304949750
Mailing Telephone 3304942097
Mailing Fax Number 3304949750
Enumeration Date 2007-05-21
Last Update Date 2008-04-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
34.009162 OH Allopathic & Osteopathic Physicians
Y 2084N0600X Psychiatry & Neurology
Specialization: Clinical Neurophysiology
141745 NC Allopathic & Osteopathic Physicians

Other Providers JENNIFER DRAKE

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1659535565 Jennifer B Drake Optometrist 1709 Wedgewood Dr, Columbia, TN 38401-3578 2008-07-10
1891981932 Jennifer Drake Speech-Language Pathologist 116 County Road 457, Jonesboro, AR 72404-8225 2007-09-21
1861037640 Jennifer Ann Drake Behavioral Analyst 45 Sockanosset Cross Rd, Cranston, RI 02920-5529 2019-11-15
1649788092 Jennifer Lynn Drake Nurse Practitioner 700 E Broad St, Hazleton, PA 18201-6835 2018-01-19
1366815953 Jennifer Drake Pharmacist 4028 Lone Tree Way, Antioch, CA 94531-6209 2015-11-04
1760873384 Jennifer Drake Skilled Nursing Facility 10 Veterans Memorial Dr, Milford, MA 01757-2900 2015-02-18
1033526876 Jennifer Drake Nurse Practitioner 736 Irving Ave, Syracuse, NY 13210-1687 2014-07-14
1013279850 Jennifer Leigh Drake Counselor 1614 S Mildred St, Suite B, Tacoma, WA 98465-1613 2012-06-07

Office Location

Street Address 4105 HOLIDAY ST NW
City CANTON
State OH
Zip Code 44718-2531

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306890223 Wilbert Williams Physician Assistant 4105 Holiday St Nw, Canton, OH 44718-2531 2006-05-22
1336663608 Felecia Nicole Kelley Physician Assistant 4105 Holiday St Nw, Canton, OH 44718-2531 2017-07-28
1255703211 Jillian Berkshire Nurse Practitioner 4105 Holiday St Nw, Canton, OH 44718-2531 2015-10-29
1942685904 Emily Rose Waight Physician Assistant 4105 Holiday St Nw, Canton, OH 44718-2531 2015-07-20
1265774566 Damien Eugene Earl Psychiatry & Neurology 4105 Holiday St Nw, Canton, OH 44718 2013-03-25
1629306022 Angela M Rickard Physician Assistant 4105 Holiday St Nw, Neurocare Center, Canton, OH 44718-2531 2009-11-23
1407180144 Neurocare Sleep Center Psychiatry & Neurology 4105 Holiday St Nw, Canton, OH 44718-2531 2009-09-29
1326256462 Ryan Stuart Drake Psychiatry & Neurology 4105 Holiday St Nw, Canton, OH 44718-2531 2007-05-21
1760515308 Vanessa Helen Worley Physician Assistant 4105 Holiday St Nw, Canton, OH 44718-2531 2007-03-13
1891854006 Kathleen Louise O'reilly Nurse Practitioner 4105 Holiday St Nw, Canton, OH 44718-2531 2006-12-06
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578949517 Mujib Rahman Md Medical Clinic LLC Psychiatry & Neurology 2512 E Market St Unit B, Warren, OH 44483-6266 2015-07-31
1336495258 Sonal Sinha Psychiatry & Neurology 341 Cline Ave Ste 1, Mansfield, OH 44907 2012-07-29
1568727170 Surgicorp Medical, LLC Psychiatry & Neurology 767 Yorkshire Ct, Copley, OH 44321-1296 2012-07-10
1679830962 Munazza Fatima Ahmed Psychiatry & Neurology 1524 Sunset Blvd Ste B, Steubenville, OH 43952-1380 2012-04-12
1073780037 Sameena Khan Siddiqui Psychiatry & Neurology 2540 N Moreland Blvd, Shaker Heights, OH 44120-1375 2008-05-09
1003089632 Apisit Boongird Psychiatry & Neurology 12000 Fairhill Rd Apt 813, Cleveland, OH 44120-1050 2008-04-03
1871797217 Mei Lu Psychiatry & Neurology 9500 Euclid Ave S-80, Cleveland Clinic, Cleveland, OH 44195 2007-06-11
1760489421 Mohamed Abdel Aziz Psychiatry & Neurology 5750 Gateway, Mason, OH 45040-1497 2005-07-07
1114442506 Raluca Pana Psychiatry & Neurology 9500 Euclid Ave, Cleveland, OH 44195-0001 2017-08-07
1508231267 Evokes, LLC Psychiatry & Neurology 8118 Corporate Way, Ste. 212, Mason, OH 45040-7350 2015-12-07
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Competitor

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City CANTON
Zip Code 44718

Improve Information

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Dataset Information

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.

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