Community Health Care Inc.
Organization Active NPI Family Medicine Physician · Canal Fulton, OH
NPI 1114902137 · NPPES record last updated Jul 24, 2023
Key facts
- NPI
- 1114902137
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- COMMUNITY HEALTH CARE INC.
- Practice address
- 944 Cherry St E
Canal Fulton, OH 44614-8669 - Phone
- (330) 854-4574
- Fax
- (330) 854-0829
- NPI assigned
- Dec 13, 2005
- Organization subpart
- No
Authorized official
- Name
- Rodney K. Ison, M.D.
- Title
- Ceo, President
- Phone
- (330) 854-4574
Practitioners 111
-
Leila C Abraksia, APRN CNP
-
Mary Kathleen Akers, CNP
-
James M Bailey, M.D.
-
Dominique Blagojevic, APRN CNP
-
Paulo Borges, M.D.
-
Kevin P Chase, DO
-
Sandeep K Chatha, MD
-
Candace K Decourville, APRN CNP
-
William M Duggan, M.D.
-
McKayla Eberhardt, APRN CNP
-
Jessica L. Falvo Lang, M.D.
-
Karen R Fosbrink, APRN-CNP
-
Emily George, MD
-
Brent Grass, APRN CNP
-
Jenna Green, CNP
-
Angela M Hissner, APRN CNP
-
Michelle A Holmer, M.D.
-
Angela Indorf, APRN CNP
-
Rodney K. Ison, M.D
-
Hope James, LISW
-
Krista Jaworski, APRN CNP
-
Krystal Johnson, APRN CNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0342640 | Community Health Care | Provider-performed microscopy | Aug 31, 2026 |
| 36D0870596 | Community Health Care | Provider-performed microscopy | Aug 31, 2026 |
| 36D0931381 | Community Health Care Louisville | Provider-performed microscopy | Jul 28, 2027 |
| 36D0939203 | Community Health Care Stow | Provider-performed microscopy | Jan 21, 2028 |
| 36D0980105 | Community Health Care Manchester | Provider-performed microscopy | Nov 12, 2026 |
| 36D0985791 | Community Health Care - Copley | Certificate of waiver | Apr 29, 2027 |
| 36D1045467 | Community Health Care Inc | Provider-performed microscopy | Jun 11, 2028 |
| 36D2103637 | Community Health Care - Coventry | Certificate of waiver | Oct 15, 2027 |
| 36D2162339 | Community Health Care of Wadsworth | Provider-performed microscopy | Feb 19, 2027 |
| 36D2285083 | Community Health Care - North Canton | Certificate of waiver | Jul 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040227000660 | OH | Part B Supplier - Clinic/Group Practice | 1052207727 |
Receives reassigned benefits from 67 practitioners Practice locations: Wadsworth, OH; Uniontown, OH; Stow, OH; Norton, OH; North Canton, OH; New Franklin, OH; Massillon, OH; Louisville, OH… |
National Provider Directory
Locations
290 9th St NE
Barberton, OH 44203
Phone (330) 388-5921
944 Cherry St E
Canal Fulton, OH 44614
Phone (330) 854-4281
944 Cherry St E
#79
Canal Fulton, OH 44614
5862 Louisville St
Louisville, OH 44641
Phone (330) 875-5544
1302 W Main St
Ste A
Louisville, OH 44641
Phone (330) 875-5544
7452 Fulton Dr NW
#B
Massillon, OH 44646
Phone (330) 833-4596
7452 Fulton Dr NW
#A
Massillon, OH 44646
Phone (330) 880-4111
5147 Manchester Rd
New Franklin, OH 44319
Phone (330) 644-2747
6101 Whipple Ave NW
North Canton, OH 44720
Phone (330) 537-8114
7034 Braucher St NW
North Canton, OH 44720
Phone (330) 754-2425
1193 Norton Ave
Ste A
Norton, OH 44203
Phone (330) 825-0847
2971 Graham Rd
Stow, OH 44224
Phone (330) 688-7981
860 Broad St
Wadsworth, OH 44281
Phone (330) 331-7106
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
944 Cherry St E
Canal Fulton, OH 44614-8669
Mailing address
1193 Norton Ave
Ste. a
Norton, OH 44203-9516
Phone (330) 825-1152
Other practice location 1
7034 Braucher St NW
North Canton, OH 44720-6326
Phone (330) 754-2425
Other practice location 2
6724 Wales Ave NW
Massillon, OH 44646-9006
Phone (330) 837-4264
Other practice location 3
5147 Manchester Rd
New Franklin, OH 44319-3911
Phone (330) 644-3747
Other practice location 4
855 W Maple St Ste 110
Hartville, OH 44632-7601
Phone (330) 877-3616
Other practice location 5
6101 Whipple Ave NW
North Canton, OH 44720-7617
Phone (330) 537-8114
Other practice location 6
3614 Manchester Rd Ste 101
Coventry Township, OH 44319-2160
Phone (330) 644-2234
Other practice location 7
2971 Graham Rd
Stow, OH 44224-3619
Phone (330) 688-7981
Other practice location 8
2839 Copley Rd
Copley, OH 44321-2154
Phone (330) 666-2022
Other practice location 9
7452 Fulton Dr NW Ste A
Massillon, OH 44646-9393
Phone (330) 880-4111
Other practice location 10
1700 Boettler Rd Ste 100
Uniontown, OH 44685-7793
Phone (330) 896-0009
Other practice location 11
7452 Fulton Dr NW Ste B
Massillon, OH 44646-9393
Phone (330) 833-4596
Other practice location 12
7452 Fulton Dr NW Ste B
Massillon, OH 44646-9393
Phone (330) 833-4596
Other practice location 13
860 Broad St
Wadsworth, OH 44281-9052
Phone (330) 331-7106
Other practice location 14
1193 Norton Ave Ste A
Norton, OH 44203-9526
Phone (330) 825-0847
Other practice location 15
1302 W Main St Ste A
Louisville, OH 44641-1114
Phone (330) 875-5544
Other practice location 16
153 Collier Dr
Doylestown, OH 44230-1208
Phone (330) 658-1550
Other practice location 17
169 5th St SE Ste A
Barberton, OH 44203-9003
Phone (330) 745-3080
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CK4119 | Other | OH | RAILROAD MEDICARE GROUP |
| 0827538 | Medicaid | OH | |
| 2167211 | Medicaid | OH | |
| CF0079 | Other | OH | RAILROAD MEDICARE GROUP |
| 0642479 | Medicaid | OH | |
| 0683890 | Medicaid | OH | |
| 2717822 | Medicaid | OH | |
| CF1366 | Other | OH | MEDICARE RAILROAD GROUP |
| 0683194 | Medicaid | OH | |
| 0842217 | Medicaid | OH | |
| 2267658 | Medicaid | OH |
Other providers in Canal Fulton, OH
- Cheryl Ann Carnes
- Ashleigh Elizabeth Carr
- City of Canal Fulton
- Michele Clayton
- William B Cleveland III
- Debra D. Cowgill
- Christine Cunningham
- Marian D Curry
- Lauriane Flore Dacko Bugueu
- Nicholle Davidson
All providers in Canal Fulton, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.