ANGELA RACKLEY (NPI# 1619178621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619178621 |
Entity Type | Individual |
Full Name | ANGELA RACKLEY |
Credential | MD |
Practice Address |
1711 27th St Ste 103a Portsmouth OH 45662-2654 |
Mailing Address |
1735 27th St Portsmouth OH 45662-2677 |
Practice Telephone | 7403566740 |
Practice Fax Number | 7403559281 |
Mailing Telephone | 7403568681 |
Mailing Fax Number | 7403537900 |
Enumeration Date | 2007-05-29 |
Last Update Date | 2020-05-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35.090802 | OH | Allopathic & Osteopathic Physicians |
Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
35-090802 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2800508 | 05 | |
KY | 7100179190 | 05 | |
KY | RAILROAD MEDICARE | P00981133 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366617540 | Angela Anita Rackley | Specialist | 178 Eckman Ct, Chula Vista, CA 91911-5203 | 2008-04-28 |
Street Address |
1711 27TH ST STE 103A |
City | PORTSMOUTH |
State | OH |
Zip Code | 45662-2654 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
Find all providers in zip 45662 |
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 |
---|---|---|---|---|
1629028238 | Eric J Goldberg | Psychiatry & Neurology | 3235 Academy Ave, Ste 305, Portsmouth, VA 23703-3200 | 2006-05-12 |
1689623258 | Tidewater Neurologists Inc | Psychiatry & Neurology | 3235 Academy Ave, Suite 305, Portsmouth, VA 23703-3200 | 2006-05-09 |
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 |
Find all providers with the same taxonomy |
City | PORTSMOUTH |
Zip Code | 45662 |
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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.