Active NPI
Jeffery Scott Falkner
- Prevention Professional
- Canton, OH
National Provider Identifier
1063996965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- OCPSA4256
- Practice address
- 601 Cleveland Ave NW
Canton, OH 44702-1836 - Phone
- (330) 455-0374
- Fax
- (330) 453-6716
- NPI assigned
- Sep 18, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | OCPSA4256 | OH | Primary |
Addresses
Primary practice location
601 Cleveland Ave NW
Canton, OH 44702-1836
Mailing address
625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OCPSA4256 | OH | MD | Prevention Professional |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1063996965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021805",
"telephone_number": "330-455-0374",
"fax_number": "330-453-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021836",
"telephone_number": "330-455-0374",
"fax_number": "330-453-6716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALKNER",
"first_name": "JEFFERY",
"middle_name": "SCOTT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-18",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "OH",
"license": "OCPSA4256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
- Lena Johanna Fajardo, PHARMD
- Rachel Evangeline Falce, MS, RDN, LD
- Falcon Healthcare, Inc.
- Tanya R Falcone, CT
- Benjamin W. Falkenberg, AA
- Tajanique Falls
- Families Integrated Residential Services LLC
- Family Life Home and Health Care Services, LLC
- Family Medicine Inc
- Family Solutions Residential Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.