COOPERATIVE MEDICAL HEALTH CARE CORPORATION PROFESSIONAL ASSOCIATION (NPI# 1720260979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720260979 |
| Entity Type | Organization |
| Organization Name | COOPERATIVE MEDICAL HEALTH CARE CORPORATION PROFESSIONAL ASSOCIATION |
| Practice Address |
165 W. Bagley Rd. Berea OH 44017 |
| Practice Telephone | 4408261440 |
| Practice Fax Number | 4408261126 |
| Mailing Telephone | 4408261440 |
| Mailing Fax Number | 4408261126 |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | DR. ERIC MACANGA (OFFICER) |
| Authorized Official Telephone | 4408261440 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172M00000X | Mechanotherapist | 3639 | OH | Other Service Providers |
| Y | 111N00000X | Chiropractor | 3521 | OH | Chiropractic Providers |
| Street Address |
165 W. BAGLEY RD. |
| City | BEREA |
| State | OH |
| Zip Code | 44017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632759 | Faseeha Raza | Student in an Organized Health Care Education/Training Program | Baldwin Wallace University Physician Assistant Program, 201 Front Street, Berea, OH 44017 | 2020-05-28 |
| 1851885412 | Monica Lynne Mcfarland | Occupational Therapy Assistant | 570 North Rocky River Drive, Berea, OH 44017 | 2018-06-18 |
| 1700301207 | Cherelle Scott | Counselor | 398 W Bagley Road Ste, Suite 216, Berea, OH 44017 | 2017-08-07 |
| 1780042457 | Linda Lou Cummings | Social Worker | 202 E. Bagley Road, Berea, OH 44017 | 2016-02-09 |
| 1760827042 | Pathways Hospice LLC | Hospice Care, Community Based | 885 W. Bagley Road, Berea, OH 44017 | 2013-05-01 |
| 1336457134 | Mary Elizabeth Italiano-burke | Licensed Practical Nurse | 90 Emerson Dr., #11009, Berea, OH 44017 | 2010-09-15 |
| 1326230616 | Marilyn Sue George | Psychoanalyst | 187 Seminary St, Berea, OH 44017 | 2007-08-10 |
| 1437371556 | Michael Charles Powell | Registered Nurse | 501 Nobottom Rd, Berea, OH 44017 | 2007-05-02 |
| 1538381439 | Paula Davis Fultz | Counselor | 303 E. Bagley Road, Berea, OH 44017 | 2007-05-02 |
| 1073631065 | Robert W Basalla | Dentist | 347 Front Street, Berea, OH 44017 | 2007-03-27 |
| Find all providers in zip 44017 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124593223 | William Munoz Jr. | Chiropractor | 44 W Bagley Rd, Berea, OH 44017-1933 | 2018-10-04 |
| 1447539739 | Zachary David Sedivy | Chiropractor | 148 Oak Meadow Dr, Berea, KY 40403-9580 | 2011-08-04 |
| 1972822906 | Dan Sipple Enterprises, LLC | Chiropractor | 502 Richmond Rd N Ste 2, Berea, KY 40403-1151 | 2010-06-01 |
| 1174845713 | Chris Sipple Enterprises LLC | Chiropractor | 502 Richmond Road, Berea, KY 40403 | 2010-02-24 |
| 1336381367 | Stacy K. Edwards, Psc | Chiropractor | 130 N Broadway St, Suite #1, Berea, KY 40403-2044 | 2009-04-06 |
| 1659552032 | Sipple & Sipple Chiropractic | Chiropractor | 502 Richmond Rd N, Berea, KY 40403-1151 | 2007-11-14 |
| 1811024466 | Harmon Chiropractic Inc | Chiropractor | 327 Chestnut St, Berea, KY 40403-1921 | 2007-02-28 |
| 1780740423 | Stacy Kenton Edwards | Chiropractor | 130 N. Broadway, Suite #1, Berea, KY 40403 | 2006-12-28 |
| 1962578013 | Eric Macanga | Chiropractor | 165 W Bagley Rd, Berea, OH 44017-1856 | 2006-11-28 |
| 1467525295 | Christopher D. Ciryak | Chiropractor | 44 West Bagley, Berea, OH 44017-1933 | 2006-11-17 |
| Find all providers in BEREA | ||||
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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.