| Jackson Family Practice, Inc. | |
|
7072 Mears Gate Dr. Nw North Canton OH 44720-8850 | |
| (330) 966-1319 | |
| (330) 966-1321 |
| Full Name | Jackson Family Practice, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 7072 Mears Gate Dr. Nw, North Canton, Ohio |
| Authorized Official Name and Position | Stanley R Anderson (PRESIDENT) |
| Authorized Official Contact | 3309661319 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Family Practice, Inc. 7072 Mears Gate Dr. Nw North Canton OH 44720-8850 Ph: (330) 966-1319 | Jackson Family Practice, Inc. 7072 Mears Gate Dr. Nw North Canton OH 44720-8850 Ph: (330) 966-1319 |
| NPI Number | 1699881581 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 11/21/2012 |
| Medicare PECOS PAC ID | 1254344633 |
|---|---|
| Medicare Enrollment ID | O20060823000029 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699881581 | NPI | - | NPPES |
| 0684344 | Medicaid | OH | |
| 2206713 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35055884 (Ohio) | Primary |
| Provider Name | Ronald Dean Crock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457332785 PECOS PAC ID: 8527038231 Enrollment ID: I20040729001014 |
| Provider Name | Stan R Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538119326 PECOS PAC ID: 6305849845 Enrollment ID: I20120306000653 |
| Provider Name | David J Mallamaci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841249604 PECOS PAC ID: 4587824313 Enrollment ID: I20120402000110 |
Dr. Gary J. Guido, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5399 Lauby Rd Ste 205, North Canton, OH 44720 Phone: 330-760-2739 | |
Healthspan Integrated Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4914 Portage St Nw, North Canton, OH 44720 Phone: 216-265-8810 Fax: 216-265-8890 | |
Portage Family Practice Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1413 Portage St Nw, North Canton, OH 44720 Phone: 330-499-7591 Fax: 330-499-0308 | |
Stark County Internal Medicine Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 S Main St, Suite 101, North Canton, OH 44720 Phone: 330-497-8636 Fax: 330-497-8634 | |
Care On Demand Network, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6975 Promway Ave Nw, Suite C, North Canton, OH 44720 Phone: 305-915-2105 | |
North Canton Family Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Wilbur Dr Ne, North Canton, OH 44720 Phone: 330-494-6012 Fax: 330-494-0403 | |
Aultman North Canton Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6046 Whipple Ave Nw, North Canton, OH 44720 Phone: 330-433-1400 Fax: 330-433-1314 |