NICHOLAS ROY DAVID FARRIS (NPI# 1861846719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861846719 |
| Entity Type | Individual |
| Full Name | NICHOLAS ROY DAVID FARRIS |
| Credential | M.D. |
| Practice Address |
1 Perkins Sq Pediatrics Department Akron OH 44308-1063 |
| Mailing Address |
1 Perkins Sq Attn: Medical Education Akron OH 44308-1063 |
| Practice Telephone | 3305431000 |
| Mailing Telephone | 3305431000 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2019-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
35.135759 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Street Address |
1 PERKINS SQ PEDIATRICS DEPARTMENT |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216468 | Kerry Leone-quisenberry | Nurse Anesthetist, Certified Registered | 1 Perkins Sq, Akron, OH 44308-1063 | 2005-06-21 |
| 1639778681 | Megan Susanne Foster | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-10-21 |
| 1639781800 | Danielle Marie Standohar | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-19 |
| 1548872039 | Brooke N Phillips | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-18 |
| 1609494517 | Angela Marie Corsi | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-07-07 |
| 1124647516 | Marisa M Mancuso | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-15 |
| 1235768870 | Elizabeth Suzanne Mcinturf | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-06 |
| 1447889142 | Kaitlin Minotti | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1062 | 2020-04-04 |
| 1790314813 | Spencer Jeffrey Gasser | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-02 |
| 1992334080 | Rachel Worth | Registered Nurse | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
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| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396036026 | Joseph Ernest Kastelic | Pediatrics | 472 Overwood Rd., Akron, OH 44313-5328 | 2011-04-28 |
| 1477819340 | Erin Nicole Wright | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2012-04-05 |
| 1891075859 | Haleema Saeed | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2011-08-23 |
| 1649566845 | Megan Elicia Sampson | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2011-06-26 |
| 1104081132 | Daniel Francis Pettee | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2008-07-18 |
| 1710196068 | Anne Marita Elliott | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2007-05-22 |
| 1912054727 | Sarah Rush | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2007-01-04 |
| 1760546741 | M Ali Talaizadeh | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-12-21 |
| 1902960180 | Stephanie L Savelli | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-12-21 |
| 1669558094 | Donna F Patton | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-10-27 |
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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.