| The Oak Clinic | |
|
3838 Massillon Rd Suite 360 Uniontown OH 44685 | |
| (330) 896-9625 | |
| (330) 896-9768 |
| Full Name | The Oak Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3838 Massillon Rd, Uniontown, Ohio |
| Authorized Official Name and Position | Timothy J Carrabine (DIRECTOR) |
| Authorized Official Contact | 3308969625 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Oak Clinic 3838 Massillon Rd Suite 360 Uniontown OH 44685 Ph: (330) 896-9625 | The Oak Clinic 3838 Massillon Rd Suite 360 Uniontown OH 44685 Ph: (330) 896-9625 |
| NPI Number | 1447353594 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 05/28/2013 |
| Medicare PECOS PAC ID | 2769470590 |
|---|---|
| Medicare Enrollment ID | O20040503000220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447353594 | NPI | - | NPPES |
| 2279038 | Medicaid | OH | |
| 36D0984904 | Other | OH | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Christopher A Sheppard |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306924964 PECOS PAC ID: 2961425863 Enrollment ID: I20100810000026 |
| Provider Name | Timothy J Carrabine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215015870 PECOS PAC ID: 3375531106 Enrollment ID: I20100811000298 |
| Provider Name | Lauren K. Junk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861945131 PECOS PAC ID: 5597052449 Enrollment ID: I20160921001402 |
| Provider Name | Talal M Derani |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841635570 PECOS PAC ID: 6800165440 Enrollment ID: I20180823001245 |
| Provider Name | Carla Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740711084 PECOS PAC ID: 2860734464 Enrollment ID: I20190501001073 |
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