BENJAMIN W. FALKENBERG (NPI# 1598048159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598048159 |
| Entity Type | Individual |
| Full Name | BENJAMIN W. FALKENBERG |
| Credential | AA |
| Practice Address |
4665 Douglas Cir Nw Suite 100 Canton OH 44718-3673 |
| Mailing Address |
255 W Michigan Ave Po Box 1123 Jackson MI 49201-2218 |
| Practice Telephone | 3306563100 |
| Mailing Telephone | 5177876440 |
| Mailing Fax Number | 5177874146 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 67.000187 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4665 DOUGLAS CIR NW SUITE 100 |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669422747 | Kristi L Pielstick | Anesthesiology | 4665 Douglas Cir Nw, Suite 101, Canton, OH 44718-3673 | 2006-05-11 |
| 1669923389 | Jason Legg | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718-3673 | 2016-10-18 |
| 1316496433 | Holly Mohn | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Canton, OH 44718-3673 | 2016-09-30 |
| 1003365115 | Sarah Gomez | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Canton, OH 44718-3673 | 2016-09-30 |
| 1649629767 | Jacquelyn Marshall | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718-3673 | 2016-06-09 |
| 1114384021 | Michele Moneypenny | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Suite 100, Canton, OH 44718-3673 | 2016-01-22 |
| 1023474012 | Amanda G Weaver | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, #100, Canton, OH 44718 | 2016-01-07 |
| 1700255767 | Christine Lorenz | Nurse Anesthetist, Certified Registered | 4665 Douglas Cir Nw, Canton, OH 44718-3673 | 2015-09-21 |
| 1124361720 | Michael John O'brien | Anesthesiology | 4665 Douglas Cir Nw, Canton, OH 44718-3673 | 2013-04-02 |
| 1306192794 | Zaheer A Shah Md Inc | Plastic Surgery | 4665 Douglas Cir Nw, Suite 103, Canton, OH 44718-3673 | 2012-08-03 |
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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 | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336751494 | Kalum Leiba | Anesthesiologist Assistant | 450 Northside Cherokee Blvd, Canton, GA 30115-8015 | 2020-08-20 |
| 1669082772 | Cynthia Marie Colt | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-04 |
| 1386267573 | Jenna Staikoff | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-05-21 |
| 1396389755 | Mark Tatum | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2019-10-29 |
| 1902465883 | Samantha L Prochaska | Anesthesiologist Assistant | 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 | 2019-06-13 |
| 1588141261 | Olesya Rabosyuk | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2018-07-25 |
| 1972936730 | Claire E. Stansbury | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2013-08-15 |
| 1922368208 | Carol Lynn Stith | Anesthesiologist Assistant | 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 | 2012-05-21 |
| 1528394285 | Colleen R Robson | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2009-10-30 |
| 1386873826 | Jonathan S Eberlein | Anesthesiologist Assistant | 4665 Douglas Cir Nw Ste 100, Canton, OH 44718-3673 | 2009-07-06 |
| 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.