NPIMap

Individual provider Active NPI

Angela M Rickard, PA-C

  • Physician Assistant
  • Canton, OH
National Provider Identifier
1629306022
Registry record updated Mar 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
002995 Issued in OH
Practice address
4105 Holiday St NW
Neurocare Center
Canton, OH 44718-2531
Phone
(330) 494-2097
Fax
(330) 494-9750
NPI assigned
Nov 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002995 OH Primary
Physician Assistant 363A00000X MA054059 PA
Physician Assistant 363A00000X OA002403 PA

Addresses

Primary practice location

4105 Holiday St NW
Neurocare Center
Canton, OH 44718-2531

Mailing address

4105 Holiday St NW
Neurocare Center
Canton, OH 44718-2531
Phone (330) 494-2097

Other identifiers 1

IdentifierTypeStateIssuer
P00818083OtherOHRAILROAD MEDICARE

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
I20100312000742 OH Practitioner - Physician Assistant 8022143247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
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

  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Crystal Clinic Orthopaedic Center Hospital, Akron, OH, CCN 360351

Merit-based Incentive Payment System (MIPS)

Final score
93.75 of 100Reported as group
Quality
97.99
Promoting interoperability
99
Improvement activities
40
Cost
74.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
002995OHMDPhysician Assistant
MA054059PAMDPhysician Assistant
OA002403PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Neurocare Sleep Center CurrentSince Jan 4, 2010 Accepting new patients

Locations

1652 S Union Ave
Alliance, OH 44601
Phone (330) 823-2150

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

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

830 S Main St
Ste 4
Orrville, OH 44667

Interoperability endpoints

  • Direct secure messaging: angela.rickard.1@22081.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • 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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395014400000",
    "number": "1629306022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 HOLIDAY ST NW",
            "address_2": "NEUROCARE CENTER",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "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": "4105 HOLIDAY ST NW",
            "address_2": "NEUROCARE CENTER",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "ANGELA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2014-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "002995",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054059",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA002403",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00818083",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.