Molly Marie Muckleroy

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

4048 Dressler Rd NW
Canton, OH 44718-2784

Phone

(330) 494-2097

NPI assigned

Sep 30, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neurocare Center, Inc.Group PAC ID 5294712188, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Aultman Hospital Hospital, Canton, OH, CCN 360084
• Mercy Medical Center Hospital, Canton, OH, CCN 360070
• Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351
• Union Hospital Hospital, Dover, OH, CCN 360010

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: molly.muckleroy.1@22081.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22081/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Neurocare Center Inc

  • Neurology Physician
  • Canton, OH
  • NPI 1689769572
  Medicare reassignment Care Compare group
• Neurocare Sleep Center

  • Neurology Physician
  • Canton, OH
  • NPI 1407180144
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Aultman Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1356366991
  Care Compare affiliation
• Cleveland Clinic Mercy Hospital

  • General Acute Care Hospital
  • Canton, OH
  • NPI 1366433195
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center LLC

  • Special Hospital
  • Akron, OH
  • NPI 1669669917
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Akron, OH
  • NPI 1053558056
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Barberton, OH
  • NPI 1134602808
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Akron, OH
  • NPI 1265678882
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Canton, OH
  • NPI 1366002321
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Cuyahoga Falls, OH
  • NPI 1427294131
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Barberton, OH
  • NPI 1477799179
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Kent, OH
  • NPI 1609012301
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Medina, OH
  • NPI 1801032503
  Care Compare affiliation
• Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Hudson, OH
  • NPI 1891931598
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1356169346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 E TURKEYFOOT LAKE RD UNIT 1737",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182784",
            "telephone_number": "330-494-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCKLEROY",
        "first_name": "MOLLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Mowery
• Sara Nicole Moyer, LSW
• Sarah Moyer, CT
• Taylor Meghan Moyer, APRN-CNP
• Timothy Kenneth Muchnok, D.O.
• Rachelle Marie Mueller, CD, PCD, DEM, LC
• Hasim Amir Muhammad, LPC
• Shahidah Mujahid
• Maximilian Mulakandov
• Gabriel Mule, CT

• Physician Assistant in Canton, OH
• Providers in Canton, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.