ANGELA RACKLEY


Address: 1711 27th St Ste 103a, Portsmouth, OH 45662-2654
Phone: 7403566740

ANGELA RACKLEY (NPI# 1619178621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 2800508 05
KY 7100179190 05
KY RAILROAD MEDICARE P00981133 01

Other Providers ANGELA RACKLEY

NPI Name Taxonomy Address Enumeration
1366617540 Angela Anita Rackley Specialist 178 Eckman Ct, Chula Vista, CA 91911-5203 2008-04-28

Office Location

Street Address 1711 27TH ST STE 103A
City PORTSMOUTH
State OH
Zip Code 45662-2654

Providers in the same zip code

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 Information

Taxonomy Code 2084N0600X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Clinical Neurophysiology

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City PORTSMOUTH
Zip Code 45662

Improve Information

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Dataset Information

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.

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