NPIMap

Individual provider Active NPI

Jennifer A Drake, DO

  • Clinical Neurophysiology Physician
  • Canton, OH
National Provider Identifier
1437367570
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
34.009162 Issued in OH
Practice address
4048 Dressler Rd NW Ste 100
Canton, OH 44718-2784
Phone
(330) 494-2097
Fax
(330) 494-9750
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 141745 NC
Clinical Neurophysiology Physician 2084N0600X 34.009162 OH Primary

Addresses

Primary practice location

4048 Dressler Rd NW Ste 100
Canton, OH 44718-2784

Mailing address

PO Box 35006
Canton, OH 44735-5006
Phone (330) 494-2097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080819000245 OH Practitioner - Neurology 8820163348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ohio University, College of Osteopathic Medicine, 2003
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)

1652 S Union Ave
Alliance, OH 44601-4349
Phone (330) 494-2097

830 S Main St
Suite 4
Orrville, OH 44667-2291
Phone (330) 494-2097

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
95.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
141745NCMDClinical Neurophysiology Physician
34.009162OHMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurocare Center Inc CurrentSince Aug 1, 2008 Accepting new patients
Neurocare Sleep Center CurrentSince Aug 1, 2008 Accepting new patients

Locations

4048 Dressler Rd NW
Ste 100
Canton, OH 44718
Phone (330) 479-3333

4105 Holiday St NW
Canton, OH 44718
Phone (330) 332-0711

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

4048 Dressler Rd NW
Ste 205
Canton, OH 44718
Phone (330) 244-2521

830 S Main St
Ste 4
Orrville, OH 44667

Interoperability endpoints

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

Organizations & group practices 2

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1437367570",
    "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": "330-494-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 DRESSLER RD NW STE 100",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182784",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NC",
            "license": "141745",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OH",
            "license": "34.009162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.