KENNETH ROBERT HAYCOCK (NPI# 1972526432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972526432 |
| Entity Type | Individual |
| Full Name | KENNETH ROBERT HAYCOCK |
| Credential | D.C. |
| Practice Address |
276 Federal Ave Nw Massillon OH 44647-5469 |
| Practice Telephone | 3308332085 |
| Practice Fax Number | 3308332067 |
| Mailing Telephone | 3308332085 |
| Mailing Fax Number | 3308332067 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3515 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2517100 | 05 | |
| OH | AETNA | 7509586 | 01 |
| OH | HOMETOWN | Q044763 | 01 |
| OH | ANTHEM BC/BS | 000000491984 | 01 |
| OH | OSCB | 3515 | 01 |
| Street Address |
276 FEDERAL AVE NW |
| City | MASSILLON |
| State | OH |
| Zip Code | 44647-5469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568417095 | Lynn Ann Olszewski | Chiropractor | 276 Federal Ave Nw, Massillon, OH 44647-5469 | 2006-05-23 |
| 1184074445 | Nathaniel Ogg | Physical Therapist | 276 Federal Ave Nw, Massillon, OH 44647-5469 | 2016-06-17 |
| 1003206558 | Zachary Mckendree | Chiropractor | 276 Federal Ave Nw, Massillon, OH 44647-5469 | 2015-02-04 |
| 1154491389 | Modern Health Alternatives, Inc. | Chiropractor | 276 Federal Ave Nw, Massillon, OH 44647-5469 | 2006-11-08 |
| 1659397594 | Kara Ann Smith | Chiropractor | 276 Federal Ave Nw, Massillon, OH 44647-5469 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790215382 | Amanda N Bleigh | Occupational Therapy Assistant | 3046 Beaumont Ave. Nw, Massillon, OH 44647 | 2017-06-15 |
| 1073917886 | Benjamin Woodruff | Home Health | 1731 Tremont Ave, Massillon, OH 44647 | 2014-10-22 |
| 1912103433 | L.e.e.d.a. Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1620 Forest Avenue Se, Massillon, OH 44647 | 2007-06-22 |
| 1801385570 | Morgan Nicolle Clevidence | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2018-05-08 |
| 1811148463 | Lisa Renee Dorland | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2008-10-01 |
| 1427601129 | Kristina D Mcclung | Licensed Practical Nurse | 5233 Revere Ave Nw, Massillon, OH 44647-1231 | 2019-07-22 |
| 1346289782 | Linda Kay Utes-gasber | Licensed Practical Nurse | 4422 Andette Ave Nw, Massillon, OH 44647-1272 | 2006-06-04 |
| 1710315395 | Massillon Cable Tv, Inc | Durable Medical Equipment & Medical Supplies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-10-17 |
| 1598196107 | Massillon Cable Tv Inc | Emergency Response System Companies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-12-06 |
| 1053648816 | Tina Marie Sherlock - Talbott | Nurse's Aide | 9 Country Club Cir Nw, Massillon, OH 44647-5114 | 2009-11-15 |
| Find all providers in zip 44647 | ||||
| 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 |
|---|---|---|---|---|
| 1083912463 | Gary Yang | Chiropractor | 2617 Lincoln Way Nw, Massillon, OH 44647-5117 | 2011-03-08 |
| 1861702862 | Chad Decker Vogelgesang | Chiropractor | 7266 Portage St Nw, Suite C, Massillon, OH 44646-7826 | 2010-10-12 |
| 1194889121 | Scott Thomas Bush | Chiropractor | 133 1st St Ne # R, Massillon, OH 44646-5501 | 2006-12-21 |
| 1114011418 | Thompson Chiropractic Office Inc | Chiropractor | 3483 Wales Ave Nw, Massillon, OH 44646 | 2006-10-03 |
| 1487753570 | Jason A Cheatle | Chiropractor | 2315 Lincoln Way East, Massillon, OH 44646 | 2006-09-22 |
| 1801826029 | George Georgekopoulos Inc. | Chiropractor | 7917 Lutz Ave Nw, Massillon, OH 44646-9345 | 2006-07-04 |
| 1568417095 | Lynn Ann Olszewski | Chiropractor | 276 Federal Ave Nw, Massillon, OH 44647-5469 | 2006-05-23 |
| 1003206558 | Zachary Mckendree | Chiropractor | 276 Federal Ave Nw, Massillon, OH 44647-5469 | 2015-02-04 |
| 1992046783 | Vogelgesang Family Chiropractic, Inc | Chiropractor | 7266 Portage St Nw, Suite C, Massillon, OH 44646-7826 | 2013-03-05 |
| 1659447522 | Bukuts Chiropractic Health and Wellness Center Ltd | Chiropractor | 3821 Wales Ave Nw, Massillon, OH 44646 | 2006-11-24 |
| Find all providers in MASSILLON | ||||
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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.