Maranatha Springs Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OH062098 Issued in OH

Legal business name

MARANATHA SPRINGS INC

Practice address

2866 Whipple Ave NW
Canton, OH 44708

Phone

(330) 478-2186

Fax

(330) 478-2330

NPI assigned

Jun 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark W Hatcher, MD

Title

MD / President

Phone

(330) 478-2186

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275436800000",
    "number": "1770803611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2866 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-478-2186",
            "fax_number": "330-478-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2866 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-478-2186",
            "fax_number": "330-478-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARANATHA SPRINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2010-06-02",
        "status": "A",
        "authorized_official_last_name": "HATCHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MD / PRESIDENT",
        "authorized_official_telephone_number": "330-478-2186",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "OH062098",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "OH062098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0863909",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Manse, AGACNP
• Michele Manson, RD,LD
• Pradeep K Manudhane, MD
• Paul R Manuszak, MD
• Kristen Maple, BCBA
• Emily Gabrielle Maranville
• Joseph Daniel Marazza
• Marbeck Services LLC
• Mary Beth Marburger, CRNP
• Marc Glassman Inc

• General Practice Physician in Canton, OH
• Providers in Canton, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.