PROGRESSIVE MEDICAL SPECIALISTS (NPI# 1902279094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902279094 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE MEDICAL SPECIALISTS |
| Practice Address |
4774 Munson St Nw Suite 204 Canton OH 44718-3634 |
| Practice Telephone | 3304752370 |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2015-11-11 |
| Authorized Official Name | NICOLE THORN (PRESIDENT) |
| Authorized Official Telephone | 3307542370 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | OH | Allopathic & Osteopathic Physicians | |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
OH | Allopathic & Osteopathic Physicians | |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457533747 | Progressive Medical Specialists | Clinic/Center | 4974 El Cajon Blvd, Suite A, San Diego, CA 92115-4677 | 2007-11-29 |
| Street Address |
4774 MUNSON ST NW SUITE 204 |
| City | CANTON |
| State | OH |
| Zip Code | 44718-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821093139 | George Thomas Williams | Dentist | 4774 Munson St Nw, Suite 303, Canton, OH 44718-3634 | 2005-06-15 |
| 1275910226 | Williams Family Dental Group Inc | Clinic/Center | 4774 Munson St Nw, Suite 303, Canton, OH 44718-3634 | 2015-04-29 |
| 1336530641 | Unity Health Network, LLC | Durable Medical Equipment & Medical Supplies | 4774 Munson St Nw, Suite 100, Canton, OH 44718-3634 | 2015-02-09 |
| 1457760068 | George Robert Williams | Dentist | 4774 Munson St Nw, Ste 303, Canton, OH 44718-3634 | 2014-08-07 |
| 1780013946 | Stephanie Stubblefield | Nurse Practitioner | 4774 Munson St Nw, Suite 401, Canton, OH 44718-3634 | 2013-11-07 |
| 1770929408 | Maximillian Gustav Beushausen | Dentist | 4774 Munson St Nw, Suite 102, Canton, OH 44718-3634 | 2013-05-21 |
| 1023358280 | Premier Health and Wellness Center, LLC | Family Medicine | 4774 Munson St Nw, Canton, OH 44718-3634 | 2013-02-26 |
| 1912278730 | Larissa Marie Tilley | Chiropractor | 4774 Munson St Nw, Suite 302, Canton, OH 44718-3634 | 2012-01-25 |
| 1164731519 | Dania Kafri | Dentist | 4774 Munson St Nw, Suite 304, Canton, OH 44718-3634 | 2010-10-04 |
| 1457527392 | Greggory Nicholas Elefterin | Dentist | 4774 Munson St Nw, Suite 201, Canton, OH 44718-3634 | 2008-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851382857 | P Suresh Nuchikat | Internal Medicine | 2600 Tuscarawas St W #160, Canton, OH 44708-4696 | 2005-10-31 |
| 1568450534 | Pramod Anand Bhargava | Internal Medicine | 46550 Hills and Dales Rd Nw, Canton, OH 44708 | 2005-10-12 |
| 1316943707 | Luis F Soto | Internal Medicine | 4689 Fulton Dr Nw, Canton, OH 44718-2379 | 2005-06-22 |
| 1821094210 | John R Garton | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2005-06-22 |
| 1235544198 | Bhavnish Bucktowarsing | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2014-06-30 |
| 1760788368 | Dayanand Makey | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2011-01-31 |
| 1942473962 | Abhijit Kontamwar | Internal Medicine | 2600 Tuscarawas St W, Suite 160, Canton, OH 44708-4644 | 2008-04-10 |
| 1154411437 | North Atlanta Nephrology LLC | Internal Medicine | 219 Riverstone Dr, Canton, GA 30114-5256 | 2006-10-15 |
| 1699701995 | Najam Sabreen | Internal Medicine | 219 Riverstone Dr, Canton, GA 30114-5256 | 2006-06-25 |
| 1770525289 | Renal Consultant's, Inc | Internal Medicine | 2600 Tuscarawas St W, Canton, OH 44708-4644 | 2006-06-11 |
| 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.