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).
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 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407194467 | Jennifer M Drake | Specialist | 1608 Avalon Pines Dr, Coram, NY 11727-5141 | 2013-01-27 |
1508142076 | Jennifer Haunani Chong Drake | Acupuncturist | Psc 851 Box 1072, Fpo, AE 09834 | 2011-10-28 |
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 |
Street Address |
4105 HOLIDAY ST NW |
City | CANTON |
State | OH |
Zip Code | 44718-2531 |
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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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 |
Find all providers in zip 44718 |
Taxonomy Code | 2084N0600X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Clinical Neurophysiology |
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] |
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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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.