NPIMap

Organization Active NPI

Cleveland Clinic Mercy Hospital

Doing business as Mercy Medical Center

  • General Acute Care Hospital
  • Canton, OH
National Provider Identifier
1366433195
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CLEVELAND CLINIC MERCY HOSPITAL
Doing business as
Mercy Medical Center
Practice address
1320 Mercy Dr NW
Canton, OH 44708-2614
Phone
(330) 489-1000
NPI assigned
Nov 1, 2005
Last updated
Aug 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Authorized official

Name
Dennis Laraway
Title
Executive VP Chief Finance Officer
Phone
(216) 445-1343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1320 Mercy Dr NW
Canton, OH 44708-2614

Mailing address

6801 Brecksville Rd
Ste 20, Attn: DPC RK2-7
Independence, OH 44131-5062

Other identifiers 1

IdentifierTypeStateIssuer
0298771MedicaidOH

Other names 1

  • Mercy Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040224001287 OH Part B Supplier - Clinic/Group Practice 0547156796 Receives reassigned benefits from 286 practitioners
2 other NPIs on this enrollment
Practice locations: Massillon, OH; Uniontown, OH; North Canton, OH; New Philadelphia, OH; Louisville, OH; Carrolton, OH; Canton, OH; Alliance, OH
O20070508000606 OH Part A Provider - Hospital 0547156796 Practice locations: Alliance, OH; Massillon, OH; North Canton, OH; Louisville, OH; Canton, OH; Uniontown, OH; Carrollton, OH; New Philadelphia, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366433195. Details of each certification follow.

Hospital certification: CCN 360070

Legal name
CLEVELAND CLINIC MERCY HOSPITAL
Doing business as
MERCY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 2, 2014
Beds
520
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jun 12, 1999 (1 total)
Organization structure
CorporationNon-profit
Incorporated
May 4, 1999 in OH
Enrollment address
1320 Mercy Dr NW
Canton, OH 44708-2614
Other Hospital Practice Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Medical CenterCCN 360070 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Dept of Immunopathology229 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1455 Harrison Ave NW
Canton, OH 44708
Phone (330) 452-9900

1455 Harrison Ave NW
Ste 304
Canton, OH 44708
Phone (330) 471-9684

3120 Parkway St NW
Ste B
Canton, OH 44708
Phone (330) 489-1251

4909 Munson St NW
Canton, OH 44718
Phone (330) 494-7466

125 Canton Rd NW
Carrollton, OH 44615
Phone (330) 627-7300

1302 W Main St
Ste B
Louisville, OH 44641
Phone (330) 489-1448

2859 Aaronwood Ave NE
Ste 3
Massillon, OH 44646
Phone (330) 363-5434

Ownership & related parties

All disclosed owners & managing parties 42

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marianne Crosley Individual Corporate DirectorBoard of Directors - Director Jul 1, 2024
Marcia Ballinger Individual Corporate DirectorBoard of Directors- Director Jan 1, 2025
Catherine M. Kilbane Individual Corporate DirectorBoard of Directors Feb 1, 2021
Dan Schulman Individual Corporate DirectorDirector - Board of Directors Feb 28, 2022
Beth Mooney Individual Corporate OfficerChair, Board of Directors Mar 2, 2021
Corporate DirectorBoard of Directors Feb 1, 2021
Melinda Rich Individual Corporate DirectorMember - Board of Directors Jan 1, 2022
The Cleveland Clinic Foundation Organization, Cleveland, OH Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Feb 1, 2021 100%
Operational/Managerial Control Feb 1, 2021 100%
Betty Kemper Individual Corporate DirectorBoard of Directors Feb 1, 2021
Mark Ross Individual Corporate DirectorDirector - Board of Directors Oct 3, 2022
Doreen Meredith Individual W-2 Managing EmployeeDepartment Analyst II Aug 24, 2015
Dennis L Laraway Individual Corporate OfficerChief Financial Officer Mar 13, 2023
Carole Hoover Individual Corporate DirectorBoard of Directors Feb 1, 2021
Stewart Kohl Individual Corporate DirectorBoard of Directors Feb 1, 2021
Bonnie Gwin Individual Corporate DirectorDirector - Board of Directors Feb 27, 2023
Hiroyuki Fujita Individual Corporate DirectorBoard of Directors Feb 1, 2021
Larry Pollock Individual Corporate DirectorBoard of Directors Feb 1, 2021
Richard J. Kramer Individual Corporate DirectorBoard of Directors Feb 1, 2021
Tomislav Mihaljevic Individual Corporate DirectorBoard of Directors Feb 1, 2021
Michael Petras Individual Corporate DirectorBoard of Directors Feb 1, 2021
Mark P Malloy Individual Corporate OfficerRegional Cfo, Oh and Treasurer Mar 2, 2021
Stephanie Santin Individual W-2 Managing EmployeeDepartment Analyst I Mar 1, 2024
Jessica McArdle Individual W-2 Managing EmployeeDepartment Analyst I Dec 1, 2023
John Waldron Individual Corporate DirectorDirector - Board of Directors Feb 1, 2021
Jorge Alberto Guzman Individual Corporate DirectorBoard of Directors - Director Jul 1, 2024
Albert Salvatore Individual Corporate DirectorBoard of Directors Feb 1, 2021
Thomas Paumier Individual Corporate DirectorBoard of Directors - Director Feb 1, 2024
Lorraine Vega Individual Corporate DirectorBoard of Directors Feb 1, 2021
Pamela Miller Individual Corporate DirectorBoard of Directors Feb 1, 2021
Alex Gorsky Individual Corporate DirectorBoard of Directors - Director Jun 17, 2024
Heidi Sathre Individual W-2 Managing EmployeeDepartment Supervisor III Feb 1, 2021
Michael E. Maroone Individual Corporate DirectorBoard of Directors Feb 1, 2021
Susan Nobilio Individual Corporate OfficerExec Director- Officer Jun 10, 2025
Beri M Ridgeway Individual Corporate DirectorBoard of Directors Feb 1, 2021
Mark Lerner Individual Corporate DirectorBoard of Directors Feb 1, 2021
Rachel Byrnes Individual W-2 Managing EmployeeDepartment Analyst II Jun 1, 2022
Frederick Nance Individual Corporate DirectorBoard of Directors Feb 1, 2021
Dragana Rodic Individual W-2 Managing EmployeeDepartment Analyst I Mar 1, 2024
Omar Ishrak Individual Corporate DirectorDirector - Board of Directors Aug 3, 2020
Timothy J Crone Individual Corporate OfficerPresident, Mercy Hospital Jul 1, 2024
W-2 Managing EmployeePresident Mercy Hospital Mar 2, 2021
Patricia a Warther Individual Corporate DirectorBoard of Directors Feb 1, 2021
Robert Oblander Individual Corporate OfficerSecretary Sep 7, 2023
Umberto Fedeli Individual Corporate DirectorBoard of Directors Feb 1, 2021

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercy Medical Center Home Health & Hospice, LLCCanton, OH, CCN 367256 Home health agency 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2015
Mercy Medical Center Home Health & Hospice, LLCCanton, OH, CCN 361534 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 31, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 31

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 31

Practitioners & affiliated clinicians

Practitioners 371

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 371

Affiliated clinicians 1,200

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 1,200

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1366433195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BRECKSVILLE RD",
            "address_2": "STE 20, ATTN: DPC RK2-7",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441315062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MERCY DR NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082614",
            "telephone_number": "330-489-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND CLINIC MERCY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE VP CHIEF FINANCE OFFICER",
        "authorized_official_telephone_number": "216-445-1343"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0298771",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mercy Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.