JACK CAMERON (NPI# 1770195323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770195323 |
| Entity Type | Individual |
| Full Name | JACK CAMERON |
| Practice Address |
624 Market Ave N Canton OH 44702-1017 |
| Practice Telephone | 3304934553 |
| Practice Fax Number | 3304933761 |
| Mailing Telephone | 3304934553 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
624 MARKET AVE N |
| City | CANTON |
| State | OH |
| Zip Code | 44702-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629034830 | Trillium Family Solutions Inc | Voluntary or Charitable | 624 Market Ave N, Canton, OH 44702-1017 | 2006-04-25 |
| 1376159467 | Alissa Kiefer | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1932715042 | Michelle Adkins | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1659987758 | Christine Pitts | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1508478165 | Abbie Eileen Ricketson | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-08-17 |
| 1336767565 | Sidney Cowart | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-07-14 |
| 1194347328 | Cianna A Dorando | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-05-11 |
| 1518588979 | Cynthia M Cox | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-04-27 |
| 1053944298 | Megen Yerman | Nurse Practitioner | 624 Market Ave N, Canton, OH 44702-1017 | 2020-02-17 |
| 1164053195 | Audrey Meadows Perry | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-01-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1962901595 | Amber Nichole Strong | Social Worker | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-02-09 |
| Find all providers in zip 44702 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949475 | Olivia Clare Peer | Case Manager/Care Coordinator | 800 Market Ave N Ste 1600, Canton, OH 44702-2305 | 2020-07-14 |
| 1275154916 | Margaret Speller | Case Manager/Care Coordinator | 626 Walnut Ave Ne, Canton, OH 44702-1081 | 2020-05-05 |
| 1376034728 | Tyreia Louise Grimes | Case Manager/Care Coordinator | 122 Central Plz N Lowr Level, Canton, OH 44702-1448 | 2018-05-22 |
| 1013419084 | Susan Marie Rayner | Case Manager/Care Coordinator | 400 Tuscarawas St W Ste 300, Canton, OH 44702-2044 | 2018-03-06 |
| 1073051272 | R'ajja Lee Turpin-allison | Case Manager/Care Coordinator | 3236 Kalahari St Ne, Canton, OH 44705-3606 | 2017-02-08 |
| 1053863159 | Loralynn Wharton | Case Manager/Care Coordinator | 321 Ironwood St Se, Canton, OH 44707-1458 | 2016-10-25 |
| 1053862151 | Dionna T Stokes-ellis | Case Manager/Care Coordinator | 919 Second St Se, Canton, OH 44704 | 2016-10-24 |
| 1447632120 | Rashan Hall | Case Manager/Care Coordinator | 1321 18th St Ne, Canton, OH 44705-1225 | 2015-06-18 |
| 1639418163 | Marilynn L Farrow | Case Manager/Care Coordinator | 1522 Timber Trce, Canton, GA 30114-8900 | 2013-02-04 |
| 1083974869 | Melinda Miles | Case Manager/Care Coordinator | 311 W. Main Street, Canton, OK 73724 | 2012-05-25 |
| 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.