| Neurocare Center Inc | |
|
4105 Holiday St Nw Canton OH 44718-2531 | |
| (330) 494-2097 | |
| (330) 494-9750 |
| Full Name | Neurocare Center Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4105 Holiday St Nw, Canton, Ohio |
| Authorized Official Name and Position | Jose M Casanova (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3304942097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neurocare Center Inc 4105 Holiday St Nw Canton OH 44718-2531 Ph: (330) 494-2097 | Neurocare Center Inc 4105 Holiday St Nw Canton OH 44718-2531 Ph: (330) 494-2097 |
| NPI Number | 1689769572 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 01/13/2016 |
| Medicare PECOS PAC ID | 5294712188 |
|---|---|
| Medicare Enrollment ID | O20040630000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689769572 | NPI | - | NPPES |
| 0370441 | Medicaid | OH | |
| CB4235 | Other | OH | RAILROAD MEDICARE |
| NE9166021 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (Ohio) | Primary |
| Provider Name | Andrew P Stalker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831136704 PECOS PAC ID: 9335108992 Enrollment ID: I20041008000215 |
| Provider Name | Ned Arthur Nafziger |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1538109426 PECOS PAC ID: 3870570757 Enrollment ID: I20050224000940 |
| Provider Name | Jennifer A Drake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437367570 PECOS PAC ID: 8820163348 Enrollment ID: I20080819000245 |
| Provider Name | Ryan S Drake |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326256462 PECOS PAC ID: 3971678491 Enrollment ID: I20080819000283 |
| Provider Name | Charles Zollinger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619923133 PECOS PAC ID: 7113906975 Enrollment ID: I20081202000133 |
| Provider Name | Damien Eugene Earl |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265774566 PECOS PAC ID: 4385999168 Enrollment ID: I20180619002201 |
| Provider Name | Brittany N Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245796507 PECOS PAC ID: 9638419740 Enrollment ID: I20211103002339 |
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