MALLORY PUCKETT (NPI# 1447753520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447753520 |
| Entity Type | Individual |
| Full Name | MALLORY PUCKETT |
| Credential | CNP |
| Practice Address |
1445 Harrison Ave Nw Canton OH 44708-2620 |
| Mailing Address |
2718 Ridgewood Ave Alliance OH 44601-4810 |
| Practice Telephone | 3309565236 |
| Mailing Telephone | 7403812826 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
022510 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1445 HARRISON AVE NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-2620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081953 | Joseph P Thomas | Internal Medicine | 1445 Harrison Ave Nw, Ste 200, Canton, OH 44708 | 2005-05-23 |
| 1619211000 | Manoj K Arora | Obstetrics & Gynecology | 1445 Harrison Ave Nw, Ste 300, Canton, OH 44708-2620 | 2012-11-26 |
| 1669730073 | Meena Rawal, D.o. | Pediatrics | 1445 Harrison Ave Nw, Suite 300, Canton, OH 44708-2620 | 2012-04-24 |
| 1568652824 | Joseph P Thomas | Internal Medicine | 1445 Harrison Ave Nw, Suite 200, Canton, OH 44708-2620 | 2007-08-01 |
| 1164622247 | Vishal Sawhney | Internal Medicine | 1445 Harrison Ave Nw, Suite 101, Canton, OH 44708-2620 | 2007-07-18 |
| 1275748253 | Meena Arora Rawal | Pediatrics | 1445 Harrison Ave Nw, Canton, OH 44708-2620 | 2007-05-11 |
| 1770674947 | Priyabala Ramaiah | Obstetrics & Gynecology | 1445 Harrison Ave Nw, Suite 302, Canton, OH 44708-2620 | 2006-09-27 |
| 1952492175 | Total Women's Care, Inc | Obstetrics & Gynecology | 1445 Harrison Ave Nw, Suite 302, Canton, OH 44708-2620 | 2006-09-27 |
| 1487765467 | Abbas Sadeghian | Psychiatry & Neurology | 1445 Harrison Ave Nw, Suite 101, Canton, OH 44708-2620 | 2006-08-31 |
| 1962510966 | Martha L Conkey | Nurse Practitioner | 1445 Harrison Ave Nw, Suite 302, Canton, OH 44708-2620 | 2006-08-29 |
| Find all providers in the same location | ||||
| 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 | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875081 | Mohamed Jamal | Nurse Practitioner | 48485 River Way Dr, Canton, MI 48187-5622 | 2020-09-11 |
| 1851906713 | Anishaben Sheth | Nurse Practitioner | 46882 Torrey Hill Ct, Canton, MI 48187-4885 | 2020-09-08 |
| 1184240251 | Timothy John Mcginnis | Nurse Practitioner | 755 Stonehenge Dr, Canton, MI 48188-1257 | 2020-06-24 |
| 1952927477 | Alexandra Arzenshek | Nurse Practitioner | 1042 Creek Side Dr, Canton, GA 30115-8541 | 2020-06-20 |
| 1326663717 | Meghan Markham | Nurse Practitioner | 111 Mountain Brook Dr Ste 100, Canton, GA 30115-9045 | 2020-06-11 |
| 1194348821 | Janet L Jarrette | Nurse Practitioner | 100 Generals Pl, Canton, GA 30114-5881 | 2020-05-28 |
| 1326685124 | Cicely Lashay Scott | Nurse Practitioner | 208 Winterbury Dr, Canton, GA 30114-1235 | 2019-11-30 |
| 1609410976 | Ashley N Decraene | Nurse Practitioner | 50153 Grant St, Canton, MI 48188-3480 | 2019-10-30 |
| 1194369587 | Lori Pulliam | Nurse Practitioner | 470 Northside Cherokee Blvd Ste 250, Canton, GA 30115-8015 | 2019-10-30 |
| 1437719192 | Ebone' Sade' Singleton | Nurse Practitioner | 124 Links Dr Apt 204k, Canton, MS 39046-5388 | 2019-06-15 |
| 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.