Lifecare Family Health and Dental Center, Inc.
A Medicare group practice based in Canton, OH: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 7315959483), with 23 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7315959483
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- OH
- Enrollments
- 5
- Group size
- 13 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 8
Enrollment records 5
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20060608000292 | OH | Part A Provider - Federally Qualified Health Center (FQHC) | 1013964923 |
| O20240905001636 | OH | Part A Provider - Federally Qualified Health Center (FQHC) | 1134959000 |
| O20160226001515 | OH | Part A Provider - Federally Qualified Health Center (FQHC) | 1144694621 |
| O20131031001454 | OH | Part B Supplier - Clinic/Group Practice | 1013964923 |
| O20140117000859 | OH | Part A Provider - Federally Qualified Health Center (FQHC) | 1851592034 |
NPIs in this group 5
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Lifecare Family Health and Dental Center, Inc
dba Canton Community Clinic
- Federally Qualified Health Center (FQHC)
- Canton, OH
- NPI 1013964923
-
Lifecare Family Health and Dental Center, Inc
- Federally Qualified Health Center (FQHC)
- Massillon, OH
- NPI 1134959000
-
Lifecare Family Health and Dental Center, Inc
dba Canton Community Clinic
- Federally Qualified Health Center (FQHC)
- Canton, OH
- NPI 1851592034
-
Lifecare Family Health and Dental Center, Inc.
- Federally Qualified Health Center (FQHC)
- Massillon, OH
- NPI 1144694621
-
Lifecare Family Health and Dental Center, Inc
- Federally Qualified Health Center (FQHC)
- Canton, OH
- NPI 1437943669
Practice locations
- Canton, OH5
- Massillon, OH3
Clinicians 23
Clinicians who reassign their Medicare benefits to this group (22) or whom Care Compare lists as members (13).
-
Sara Abi, RN, APRN.CNP
- Psychiatric/Mental Health Nurse Practitioner
- Canton, OH
- NPI 1093130403
-
Ryan Francis Carroll, PA-C
- Physician Assistant
- Alliance, OH
- NPI 1538135678
-
David Michael Cola, D.O.
- Family Medicine Physician
- Canton, OH
- NPI 1821023532
-
Holly Nicole Dawson, APRN
- Family Nurse Practitioner
- Massillon, OH
- NPI 1447844931
-
Melissa E Duvall, NP
- Women's Health Nurse Practitioner
- Boardman, OH
- NPI 1609390301
-
Amanda L Ellis, APRN.CNP
- Family Nurse Practitioner
- Canton, OH
- NPI 1902443195
-
Jake Samuel Kalkstein, DDS
- General Practice Dentistry
- Canton, OH
- NPI 1033848122
-
Kaitlyn R Kortokrax, LPCC
- Professional Counselor
- Canton, OH
- NPI 1447704937
-
Felecia Nicole Lilly, PA-C
- Physician Assistant
- Canton, OH
- NPI 1336663608
-
Pennie Lynn Mathewson, LPCC
- Professional Counselor
- Canton, OH
- NPI 1396196267
-
Stephen Barrett McNulty, DO
- Internal Medicine Physician
- Canton, OH
- NPI 1972066611
-
Emily Grace McWilliams, LPC
- Mental Health Counselor
- Canton, OH
- NPI 1821745654
-
Regan M Meier, LISW
- Clinical Social Worker
- Perrysville, OH
- NPI 1023689403
-
Thomas K Mun, D.D.S.
- General Practice Dentistry
- Canton, OH
- NPI 1154547362
-
Violet Olander, PA-C
- Physician Assistant
- Canton, OH
- NPI 1861080020
-
David P Onder, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Canton, OH
- NPI 1952036923
-
Alena M Phillips, MS, LPCC
- Counselor
- Canton, OH
- NPI 1508387762
-
Tristan Reed, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Akron, OH
- NPI 1942657945
-
William Robert Roscoe, O.D., PH.D.
- Optometrist
- Cleveland, OH
- NPI 1932102340
-
Jerry Duane Weber, LISW
- Social Worker
- Louisville, OH
- NPI 1710176516
-
Tomika M West, PCC'S
- Professional Counselor
- Canton, OH
- NPI 1518230994
-
Macayla Williams
- Physician Assistant
- Beachwood, OH
- NPI 1699478057
-
Philip Leigh Withnell, MD
- Family Medicine Physician
- Louisville, OH
- NPI 1326097288
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.