Mr Shawn Cedric Richards, APRN-CNP | |
4211 State Route 44 Ste 203, Rootstown, OH 44272-9733 | |
(330) 325-3202 | |
(833) 606-1565 |
Full Name | Mr Shawn Cedric Richards |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 4211 State Route 44 Ste 203, Rootstown, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104366731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | APRN.CNP.020544 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Aultman Hospital | Canton, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Aultman North Canton Medical Group | 4082605266 | 53 |
Osup Community Outreach Llc | 5799008082 | 130 |
Entity Name | Aultman North Canton Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245257088 PECOS PAC ID: 4082605266 Enrollment ID: O20040518001528 |
Entity Name | Osup Community Outreach Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
Mailing Address | Practice Location Address |
---|---|
Mr Shawn Cedric Richards, APRN-CNP 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (330) 325-3202 | Mr Shawn Cedric Richards, APRN-CNP 4211 State Route 44 Ste 203, Rootstown, OH 44272-9733 Ph: (330) 325-3202 |
Aubrey Lynn Holcomb, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4211 State Route 44 Ste 203, Rootstown, OH 44272 Phone: 330-325-3202 Fax: 833-606-1565 | |
Leah Marie Minard, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4211 State Route 44, Rootstown, OH 44272 Phone: 330-325-3202 Fax: 833-606-1565 |