| Little Flower Family Practice | |
|
211 15th St Nw Canton OH 44703-1704 | |
| (330) 455-0800 | |
| (330) 455-1453 |
| Full Name | Little Flower Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 211 15th St Nw, Canton, Ohio |
| Authorized Official Name and Position | James Dean Johns (PRESIDENT) |
| Authorized Official Contact | 3304550800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Flower Family Practice 211 15th St Nw Canton OH 44703-1704 Ph: (330) 455-0800 | Little Flower Family Practice 211 15th St Nw Canton OH 44703-1704 Ph: (330) 455-0800 |
| NPI Number | 1295955789 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9638167687 |
|---|---|
| Medicare Enrollment ID | O20091029000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295955789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sandra Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760583686 PECOS PAC ID: 7618071341 Enrollment ID: I20070405000011 |
| Provider Name | James D Johns |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770589863 PECOS PAC ID: 5496743452 Enrollment ID: I20091029000299 |
| Provider Name | Kelly Nicole Keniray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427560440 PECOS PAC ID: 6204196397 Enrollment ID: I20180209002216 |
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