Colin Fricker
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Rootstown, OH
NPI 1467201186 · NPPES record last updated May 15, 2024
Key facts
- NPI
- 1467201186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 4209 State Route 44
Rootstown, OH 44272-9698 - Phone
- (800) 686-2511
- NPI assigned
- May 15, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250519003118 | OH | Order and Referring Only - Neurology |
5193243541 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
4209 State Route 44
Rootstown, OH 44272-9698
Mailing address
22 E Exchange St # 109
Akron, OH 44308-1520
Phone (440) 840-6565
Other providers in Rootstown, OH
- Sara Elaine Dugan
- Jay Esber
- Gregory J Facemyer
- Maria Ann Favorite
- Debra J Foit
- Kevin Fuschetto
- Lindsey Marie Gauer
- Rachel Gragg
- Stacie Graves
- Michele Renee Gregory
All providers in Rootstown, OH · Student in an Organized Health Care Education/Training Program in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2024. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.