FSR OF PARKMAN LLC (NPI# 1487168084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487168084 |
| Entity Type | Organization |
| Organization Name | FSR OF PARKMAN LLC |
| Practice Address |
4930 Enterprise Dr Nw Warren OH 44481-8706 |
| Practice Telephone | 3307140938 |
| Mailing Telephone | 3307140938 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | SCOTT WILKES (OWNER) |
| Authorized Official Telephone | 3307140938 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
4930 ENTERPRISE DR NW |
| City | WARREN |
| State | OH |
| Zip Code | 44481-8706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598766859 | Joseph Lydon Jr. | Anesthesiology | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2005-08-09 |
| 1932707304 | Wendy Tyler | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-10-16 |
| 1235740507 | Amanda Kehres | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-08-11 |
| 1013533173 | Diane Smolak | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-06-24 |
| 1780206540 | Andrea Christine Matzye | Counselor | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-05-14 |
| 1174159990 | Gregory Solomon | Social Worker | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-03-13 |
| 1215562186 | James Meyer | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-03-11 |
| 1144852864 | Gaye Tyhosky | Registered Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-02-11 |
| 1124667514 | Dalton Kinder | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-01-02 |
| 1144865627 | Laurissa Summerlin | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2019-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447321 | Fresenius Medical Care Youngstown, LLC | Clinic/Center | 4941 Enterprise Blvd Nw, Warren, OH 44481 | 2017-10-03 |
| 1942728407 | Amy Senne | Case Manager/Care Coordinator | 840 Hallock Young Rd Sw, Warren, OH 44481 | 2017-09-05 |
| 1669858486 | Team Sanders Inc | Respite Care | 893 Tait Rd, Warren, OH 44481 | 2015-08-04 |
| 1821492810 | Deirdre Bielecki | Dental Hygienist | 418 Main Avenue Sw, Warren, OH 44481 | 2014-10-20 |
| 1942413497 | Scope Inc | Home Health | 220 West Market Street, Warren, OH 44481 | 2007-05-08 |
| 1972624377 | Warren City Auditor | Public Health or Welfare | 258 E Market St, Warren, OH 44481 | 2007-04-03 |
| 1780703025 | Cythnia Coleman | Social Worker | 150 E. Market Street- Primary Practice Address, Warren, OH 44481 | 2007-03-28 |
| 1780036079 | Carol Henderson | Counselor | 320 High St Ne, Warren, OH 44481 | 2016-07-11 |
| 1801112081 | Michael F Potesta | Psychiatry & Neurology | 150 E Market St, Warren, OH 44481 | 2010-04-13 |
| 1568592624 | June Marie Mollic | Counselor | 150 E Market St, Warren, OH 44481 | 2007-03-07 |
| Find all providers in zip 44481 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255736450 | First Step Recovery of Warren | Clinic/Center | 2737 Youngstown Warren Rd Se, Warren, OH 44484 | 2014-10-30 |
| 1962532374 | Deerfield Behavioral Health of Warren | Clinic/Center | 1003 Pennsylvania Ave W Fl 2, Warren, PA 16365-1876 | 2007-03-06 |
| 1558363929 | Youngstown Committee On Alcoholism | Clinic/Center | 160 Clifton Dr Ne, Warren, OH 44484-1802 | 2005-08-15 |
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|---|---|---|---|---|
| 1205435369 | Sunrise Treatment Center, LLC | Clinic/Center | 1718 Central Pkwy, Cincinnati, OH 45214-2355 | 2020-10-20 |
| 1922607266 | Full Circle Recovery of Circleville | Clinic/Center | 2065 Stoneridge Dr, Circleville, OH 43113-8956 | 2020-10-19 |
| 1689271827 | Chillicothe Acute Care Clinic, Inc. | Clinic/Center | 5555 Airport Hwy Ste 132, Toledo, OH 43615-7380 | 2020-10-01 |
| 1649894262 | Workit Health (oh) LLC | Clinic/Center | 5836 Del Ln, Waterville, OH 43566-9484 | 2020-05-29 |
| 1205455508 | Sunrise Treatment Center - Piqua | Clinic/Center | 1130 Garbry Rd, Piqua, OH 45356-8217 | 2020-04-16 |
| 1043863384 | Team Recovery Ohio, LLC | Clinic/Center | 1618 W Sylvania Ave, Toledo, OH 43612-1589 | 2019-07-16 |
| 1568926376 | Square One Health LLC | Clinic/Center | 620 W 44th St, Ashtabula, OH 44004-6812 | 2019-01-25 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1669942934 | Baymark Health Services of Ohio | Clinic/Center | 833 E Broad St Unit 1, Elyria, OH 44035-6557 | 2018-11-29 |
| 1841760113 | Baymark Health Services of Ohio | Clinic/Center | 36001 Euclid Ave Ste B1, Willoughby, OH 44094-4643 | 2018-11-29 |
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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.