Jennifer A Drake (NPI# 1437367570, PAC ID# 8820163348) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1437367570 |
| PAC ID by PECOS | 8820163348 |
| Professional Enrollment ID | I20080819000245 |
| Full Name | Jennifer A Drake |
| Organization Legal Name | NEUROCARE CENTER, INC. |
| Address |
4105 Holiday St Nw Canton OH 44718-2531 |
| Phone Number | 3304942097 |
| Gender | F |
| Medical School | OHIO UNIVERSITY OF OSTEO MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 5294712188 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360070 | MERCY MEDICAL CENTER |
| 360084 | AULTMAN HOSPITAL |
| 360020 | SUMMA HEALTH SYSTEM |
| 360010 | UNION HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4105 Holiday St Nw, Canton, OH 44718-2531 | 3304942097 | NEUROCARE CENTER, INC. |
| Organization Legal Name | NEUROCARE CENTER, INC. |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan S Drake | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Damien Eugene Earl | Neurology | Neurocare Center, Inc. | 830 S Main St, Orriville, OH 44667-2208 |
| James Robert Bavis Jr. | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Melinda Renee Bond | Nurse Practitioner | Neurocare Center, Inc. | 1401 S Arch Ave, Alliance, OH 44601-4202 |
| Ned Arthur Nafziger | Physical Medicine and Rehabilitation | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Jay P Berke | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Charles Zollinger | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Angela M Rickard | Physician Assistant | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Andrew P Stalker | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Jose Maria Casanova | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Street Address |
4105 HOLIDAY ST NW |
| City | CANTON |
| State | OH |
| Zip | 44718-2531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan S Drake | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| James Robert Bavis Jr. | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Ned Arthur Nafziger | Physical Medicine and Rehabilitation | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Jay P Berke | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Charles Zollinger | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Angela M Rickard | Physician Assistant | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Andrew P Stalker | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Jose Maria Casanova | Neurology | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Emily Rose Waight | Physician Assistant | Neurocare Center, Inc. | 4105 Holiday St Nw, Canton, OH 44718-2531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Mcavinew | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Ebony Lewis | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Kimberly R Oney | Nurse Practitioner | Minuteclinic Diagnostic of Ohio LLC | 7292 Fulton Dr Nw, Canton, OH 44718-1525 |
| Gina Kicos | Nurse Practitioner | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Adarsh Vennepureddy | Hematology/oncology | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Shawn Richards | Nurse Practitioner | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Sunitha Vemulapalli | Hematology/oncology | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Gust Pantelas | Family Medicine | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Matthew Licause | Family Medicine | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Alina Marie Wolf | Physician Assistant | Aultman North Canton Medical Group | 2600 6th St Sw, Canton, OH 44718-1702 |
| Find all physicians in zip 44718 | |||
| City | CANTON |
| Zip Code | 44718 |
| Specialty | NEUROLOGY |
| City + Specialty | CANTON + NEUROLOGY |
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| 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.