Timothy R Coblentz (NPI# 1215964069, PAC ID# 7416020110) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1215964069 |
| PAC ID by PECOS | 7416020110 |
| Professional Enrollment ID | I20080714000294 |
| Full Name | Timothy R Coblentz |
| Organization Legal Name | AULTMAN NORTH CANTON MEDICAL GROUP |
| Address |
2600 Tuscarawas St W Suite 440 Canton OH 44708-4698 |
| Phone Number | 3304534000 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 4082605266 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360084 | AULTMAN HOSPITAL |
| 360070 | MERCY MEDICAL CENTER |
| 360010 | UNION HOSPITAL |
| 360148 | POMERENE HOSPITAL |
| 361323 | AULTMAN ORRVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2600 6th St Sw, Canton, OH 44718-1702 | 3304386333 | AULTMAN NORTH CANTON MEDICAL GROUP |
| 2600 Tuscarawas St W, Suite 440, Canton, OH 44708-4698 | 3304534000 | AULTMAN NORTH CANTON MEDICAL GROUP |
| 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 3304331200 | AULTMAN NORTH CANTON MEDICAL GROUP |
| Organization Legal Name | AULTMAN NORTH CANTON MEDICAL GROUP |
| Physicians | 76 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Baters | Nurse Practitioner | Aultman North Canton Medical Group | 2037 Wales Ave Nw, Suite 110, Massillon, OH 44646-4185 |
| Matthew J Maurice | Urology | Aultman North Canton Medical Group | 2600 W Tucarawas St, Suite 400, Canton, OH 44708-4644 |
| Marybeth Smith | Nurse Practitioner | Aultman North Canton Medical Group | 10724 State Route 212 Ne, Bolivar, OH 44612-8740 |
| Bryan A Lewis | Nurse Practitioner | Aultman North Canton Medical Group | 6512 Whipple Ave Nw, North Canton, OH 44720-7340 |
| Amy Yoder | Qualified Audiologist | Aultman North Canton Medical Group | 832 S Main St, Suite 7 and 8, Orrville, OH 44667-2208 |
| Kevin K Hill | Internal Medicine | Aultman North Canton Medical Group | 2600 Tuscarawas St W, Suite 440, Canton, OH 44708-4698 |
| Joseph Alan Cook | Family Medicine | Aultman North Canton Medical Group | 830 Amherst Rd Ne, Suite 201, Massillon, OH 44646-8518 |
| Jennifer M Tarr | Internal Medicine | Aultman North Canton Medical Group | 2500 Wales Ave Nw, Suite A, Massillon, OH 44646-2324 |
| Jennifer W Krusemark-millin | Family Medicine | Aultman North Canton Medical Group | 4320 Cleveland Ave S, Canton, OH 44707-1143 |
| Julia M Fiorentino | Internal Medicine | Aultman North Canton Medical Group | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 |
| Street Address |
2600 TUSCARAWAS ST W SUITE 440 |
| City | CANTON |
| State | OH |
| Zip | 44708-4698 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin K Hill | Internal Medicine | Aultman North Canton Medical Group | 2600 Tuscarawas St W, Suite 440, Canton, OH 44708-4698 |
| Jeffrey B Miller | Critical Care (intensivists) | Pulmonary Physicians Inc | 2600 Tuscarawas St W, Suite 100, Canton, OH 44708-4696 |
| Chadi Elias Bou Serhal | Internal Medicine | Pulmonary Physicians Inc | 2600 Tuscarawas St W, Suite 100, Canton, OH 44708-4696 |
| Susan Reynolds | Nurse Practitioner | Aultman North Canton Medical Group | 2600 Tuscarawas St W, Suite 440, Canton, OH 44708-4698 |
| Susan E Fogel | Nurse Practitioner | Pulmonary Physicians Inc | 2600 Tuscarawas St W, Suite 100, Canton, OH 44708-4696 |
| Thomas W Hiland Ii | Internal Medicine | Mansard Medical Associates, Inc. | 2600 Tuscarawas St W, Suite 500, Canton, OH 44708-4699 |
| Mioara Tudosie | Internal Medicine | 2600 Tuscarawas St W, Suite 640, Canton, OH 44708-4676 | |
| Barbara Joan Barchiesi | Ophthalmology | Canton Ophthalmology Associates Inc | 2600 Tuscarawas St W, Suite 200, Canton, OH 44708-4693 |
| Amanda K Klapchar | Psychiatry | Ohio Physician Professional Corporation | 2600 Tuscarawas St W, Suite 340, Canton, OH 44708-4644 |
| Louis Shaheen | Internal Medicine | Mansard Medical Associates, Inc. | 2600 Tuscarawas St W, Suite 500, Canton, OH 44708-4699 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaleel J Shaheen | Optometry | Hills and Dales Vision Inc | 4555 Hills and Dales Rd Nw, Canton, OH 44708 |
| Michael K Shaheen | Optometry | Hills and Dales Vision Inc | 4555 Hills and Dales Rd Nw, Canton, OH 44708 |
| Kaleel J Shaheen Ii | Optometry | Hills and Dales Vision Inc | 4555 Hills and Dales Rd Nw, Canton, OH 44708 |
| Fredrick C Hayek | Emergency Medicine | 3411 Cornwall Dr Nw, Canton, OH 44708-1155 | |
| Christine L Scott | Clinical Social Worker | Aultman Hospital | 2821 Woodlawn Ave, Nw, Canton, OH 44708-1423 |
| Irina B Korableva | Endocrinology | Northeast Ohio Endocrinology | 4634 Hills and Dales Nwrd, Canton, OH 44708-1510 |
| Kathryn Fritz | Nurse Practitioner | Northeast Ohio Endocrinology | 4634 Hills and Dales Nwrd, Canton, OH 44708-1510 |
| Autumn Campbell | Physician Assistant | Northeast Ohio Endocrinology | 4634 Hills and Dales Nwrd, Canton, OH 44708-1510 |
| Suzanne Michelle Harold | Endocrinology | Northeast Ohio Endocrinology | 4634 Hills and Dales Nwrd, Canton, OH 44708-1510 |
| Melissa J Thomas | Nurse Practitioner | Northeast Ohio Endocrinology | 4634 Hills and Dales Nwrd, Canton, OH 44708-1510 |
| Find all physicians in zip 44708 | |||
| City | CANTON |
| Zip Code | 44708 |
| Specialty | UROLOGY |
| City + Specialty | CANTON + UROLOGY |
Please comment or provide details below to improve the information on Timothy R Coblentz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.