NORTH CANTON MEDICAL FOUNDATION (NPI# 1588681340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588681340 |
| Entity Type | Organization |
| Organization Name | NORTH CANTON MEDICAL FOUNDATION |
| Other Organization Name | INTERNAL MEDICINE CENTER |
| Practice Address |
2823 Aaronwood Ave Ne Massillon OH 44646-2371 |
| Mailing Address |
6046 Whipple Ave Nw North Canton OH 44720-7616 |
| Practice Telephone | 3308308666 |
| Practice Fax Number | 3308323499 |
| Mailing Telephone | 3304331200 |
| Mailing Fax Number | 3304943606 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2009-03-13 |
| Authorized Official Name | MR. TIMOTHY J MURPHY (CFO) |
| Authorized Official Telephone | 3304331400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Internal Medicine Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649383340 | North Canton Medical Foundation | Psychiatry & Neurology | 6513 Frank Ave Nw, North Canton, OH 44720-7265 | 2006-08-16 |
| 1891904199 | North Canton Medical Foundation | Durable Medical Equipment & Medical Supplies | 830 Amherst Rd Ne, Suite 201, Massillon, OH 44646-8518 | 2007-05-22 |
| 1912924671 | North Canton Medical Foundation | Clinic/Center | 830 Amherst Rd Ne, Suite 201, Massillon, OH 44646-8518 | 2006-07-17 |
| Street Address |
2823 AARONWOOD AVE NE |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407106818 | Meredith Dianne Walker | Nurse Practitioner | 2823 Aaronwood Ave Ne, Massillon, OH 44646-2371 | 2012-09-12 |
| 1528360583 | Natalie M Mitzel | Nurse Practitioner | 2823 Aaronwood Ave Ne, Massillon, OH 44646-2371 | 2010-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912924671 | North Canton Medical Foundation | Clinic/Center | 830 Amherst Rd Ne, Suite 201, Massillon, OH 44646-8518 | 2006-07-17 |
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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.