MERCY MEDICAL CENTER (NPI# 1700053576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700053576 |
| Entity Type | Organization |
| Organization Name | MERCY MEDICAL CENTER |
| Other Organization Name | MERCY DENTAL SERVICES |
| Practice Address |
1320 Mercy Dr Nw 2nd Floor - Surgery Center Canton OH 44708-2614 |
| Practice Telephone | 3304891000 |
| Practice Fax Number | 3304715947 |
| Mailing Telephone | 3304891000 |
| Mailing Fax Number | 3304715947 |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2008-05-12 |
| Authorized Official Name | DONNA M PACKER-SCALA (MANAGER) |
| Authorized Official Telephone | 3304715962 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2690039 | 05 |
| Other Name | Type Code |
|---|---|
| Mercy Dental Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417493073 | Mercy Medical Center | Chronic Disease Hospital | 7011 E Baltimore St, Baltimore, MD 21224-1829 | 2017-01-06 |
| 1356726293 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Avenue, Garden City, NY 11550 | 2015-07-21 |
| 1407075096 | Mercy Medical Center | Occupational Therapist | 2120 Edgewood Rd Sw, Cedar Rapids, IA 52404-2342 | 2007-04-24 |
| 1891714994 | Mercy Medical Center | Surgery | 1000 N Village Avenue, Rockville Centre, NY 11571 | 2006-07-19 |
| 1033159769 | Mercy Medical Center | Hospice Care, Community Based | 315 18th Ave, Hiawatha, IA 52233-2042 | 2006-06-08 |
| 1720456361 | Mercy Medical Center | Community/Behavioral Health | 506 Stewart Ave, Garden City, NY 11530-4706 | 2015-09-14 |
| 1548661366 | Mercy Medical Center | Rehabilitation Hospital | 125 Canton Rd Nw, Carrollton, OH 44615-1009 | 2014-09-11 |
| 1558783548 | Mercy Medical Center | Clinic/Center | 1421 S Caton Ave, Suite 203, Baltimore, MD 21227-1025 | 2014-01-10 |
| 1184974677 | Mercy Medical Center | Pharmacy | 701 10th Street Se, Cedar Rapids, IA 52403-1292 | 2012-09-12 |
| 1790054815 | Mercy Medical Center | Rehabilitation Hospital | 345 Saint Paul Pl, Baltimore, MD 21202-2123 | 2011-12-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER | 500 S Oakwood Rd, Oshkosh, WI 54901-7944 |
| New York State Corporations | MERCY MEDICAL CENTER | 1000 North Village Avenue, Rockville Centre, New York 11570 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER - DES MOINES | 1111 6th Ave, Des Moines, IA 50314-2610 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER - NEWTON | 204 North 4th Avenue East, Newton, IA 50208-3135 |
| Iowa Business Entities | MERCY MEDICAL CENTER FOUNDATION - NORTH IOWA | 1000 4th St Sw, Mason City, IA 50401 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER FUNDATION IN IOWA | 1000 4th St Sw, Mason City, IA 50401-2800 |
| New York State Corporations | MERCY MEDICAL CENTER PHYSICIAN-HOSPITAL ALLIANCE, INC. | 1000 North Village Avenue, Rockville Centre, Ny 11570 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC | 301 Saint Paul Pl, Baltimore, MD 21202-2102 |
| System for Award Management (SAM) Entities | MERCY MEDICAL CENTER, INC. | 1320 Mercy Dr Nw, Canton, OH 44708-2614 |
| Oregon Corporations, Companies and Business Names | MERCY MEDICAL CENTER, INC. | 2700 Stewart Parkway, Roseburg, OR 97471 |
| Street Address |
1320 MERCY DR NW 2ND FLOOR - SURGERY CENTER |
| City | CANTON |
| State | OH |
| Zip Code | 44708-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942206230 | Community Dialysis Units, LLC | Clinic/Center | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2005-06-22 |
| 1295333193 | Danielle Kaya | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-10-13 | |
| 1831796655 | Melissa Lynn Alex | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-10-05 |
| 1902403181 | Katherine Mary Anderson | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-10-01 |
| 1154938496 | Kristen Nicole Wheeler | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-30 |
| 1669089801 | Mary Lou Keener | Dietitian, Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-30 |
| 1316553175 | Victoria Watt | Nurse Practitioner | 1320 Mercy Dr Nw, Canton, OH 44708-2641 | 2020-09-17 |
| 1124633474 | Lauren Angus | Nurse Anesthetist, Certified Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-09-14 |
| 1316550189 | Ryan Daniel Hickey | Nurse Anesthetist, Certified Registered | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-31 |
| 1669082772 | Cynthia Marie Colt | Anesthesiologist Assistant | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760008361 | Portable Smiles Mobile Inc | Dentist | 519 Pinehurst Dr, Canton, MI 48188-3078 | 2020-06-19 |
| 1740825207 | Vlp Can LLC | Dentist | 39883 Ford Rd., Canton, MI 48187 | 2019-11-08 |
| 1669014403 | Flossed LLC | Dentist | 500 Chapman St Unit 201, Canton, MA 02021-2040 | 2019-10-14 |
| 1164078960 | Caleb Jonathon Fuller | Dentist | 46592 W Oak Manor Ct, Canton, MI 48187-5230 | 2019-08-16 |
| 1518527191 | Pediatric Dentistry | Dentist | 45535 Hanford Rd, Canton, MI 48187-4595 | 2019-06-17 |
| 1710546148 | Georgia Dental Professionals, PC | Dentist | 8022 Cumming Hwy, Canton, GA 30115-9337 | 2019-06-10 |
| 1891267316 | Canton Marketplace Dentistry LLC | Dentist | 1810 Cumming Hwy Ste 900, Canton, GA 30115-2999 | 2018-12-21 |
| 1548754252 | Ashvi Mittal | Dentist | 248 Taylors Farm Dr, Canton, GA 30115-9023 | 2018-06-15 |
| 1285127605 | Cameron Parker Demarsh | Dentist | 2414 Whipple Ave Nw, Canton, OH 44708-1514 | 2018-06-11 |
| 1184146318 | Cherokee Family Dental East Cherokee LLC | Dentist | 7768 Cumming Hwy Ste 100, Canton, GA 30115-2982 | 2017-07-10 |
| 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.