Neurocare Sleep Center

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NEUROCARE SLEEP CENTER

Practice address

4105 Holiday St NW
Canton, OH 44718-2531

Phone

(330) 494-2097

Fax

(330) 244-2522

NPI assigned

Sep 29, 2009

Organization subpart

Yes

Parent organization

NEUROCARE CENTERAs reported in NPPES

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

Authorized official

Name

Dr. James R. Bavis Jr., M.D., DBSMNPI 1407880198

Title

Medical Lab Director

Phone

(330) 494-2097

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• Neurocare Center Inc

  • Neurology Physician
  • Canton, OH
  • NPI 1689769572

  O20040630000021

  Same enrollment

Part of

Neurocare Sleep Center

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22081/brand/1/csg/1/fhir/r4

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Neurocare Center Inc

  • Neurology Physician
  • Canton, OH
  • NPI 1689769572
  NPPES parent name

Practitioners 31

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.

• James Robert Bavis, MD

  • Neurology Physician
  • Canton, OH
  • NPI 1407880198
  Authorized official Same address or phone
• Mackenzie Berry, PA-C

  • Physician Assistant
  • Cincinnati, OH
  • NPI 1659049013
  NPD
• Jenna Arlene Brinker

  • Physician Assistant
  • Copley, OH
  • NPI 1619553070
  NPD
• Chelsie R Corso, PA-C

  • Physician Assistant
  • Kent, OH
  • NPI 1033928387
  NPD
• Jennifer A Drake, DO

  • Clinical Neurophysiology Physician
  • Canton, OH
  • NPI 1437367570
  NPD
• Ryan Stuart Drake, DO

  • Neurology Physician
  • Canton, OH
  • NPI 1326256462
  NPD
• Damien Eugene Earl, MD, PHD

  • Neurology Physician
  • Canton, OH
  • NPI 1265774566
  NPD
• Amita Mehra Joshi

  • Physician Assistant
  • Cleveland, OH
  • NPI 1508481482
  NPD
• Brittany McClain, FNP-C

  • Family Nurse Practitioner
  • Canton, OH
  • NPI 1245796507
  NPD
• Taylor Marie Moresea, PA-C

  • Physician Assistant
  • Alliance, OH
  • NPI 1295311389
  NPD
• Molly Marie Muckleroy

  • Physician Assistant
  • Canton, OH
  • NPI 1356169346
  NPD
• Ned A Nafziger

  • Physical Medicine & Rehabilitation Physician
  • Canton, OH
  • NPI 1538109426
  NPD

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1407180144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35006",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447355006",
            "telephone_number": "330-494-2097",
            "fax_number": "330-244-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-494-2097",
            "fax_number": "330-244-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROCARE SLEEP CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEUROCARE CENTER",
        "enumeration_date": "2009-09-29",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "BAVIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL LAB DIRECTOR",
        "authorized_official_telephone_number": "330-494-2097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., DBSM"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Nesbitt, CRNA
• Netsource Health Services LTD
• Leslie L Neuberger, RN, CNP
• Winifred Mary Neugebauer, LPN
• Neurocare Center Inc
• Neuroinfusion Center LLC
• Neurology and Neuroscience Associates Inc
• Neurology and Neuroscience Associates, Inc.
• New Day Counseling and Psychiatric Services, Inc.
• New Generation Transportation LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.