Individual provider Active NPI

Martha L Conkey, NP

  • Women's Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1962510966
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN.CNP09488 Issued in OH
Practice address
1445 Harrison Ave NW
Suite 302
Canton, OH 44708-2620
Phone
(330) 452-9900
Fax
(330) 452-9945
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X COA.09488NP OH
Women's Health Nurse Practitioner 363LW0102X APRN.CNP09488 OH Primary

Addresses

Primary practice location

1445 Harrison Ave NW
Suite 302
Canton, OH 44708-2620

Mailing address

3065 Explorer Rd SW
Carrollton, OH 44615
Phone (330) 407-4948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
222AZMDPodiatrist
APRN.CNP09488OHMDWomen's Health Nurse Practitioner
COA.09488NPOHMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Family Health and Dental Center, Inc CurrentSince Jul 15, 2017 Accepting new patients
Lifecare Family Health and Dental Center, Inc Current Accepting new patients
Lifecare Family Health and Dental Center, Inc CurrentSince Jul 15, 2017 Accepting new patients
Associates in Women'S Health Care, PLLC Past Accepting new patients

Locations

408 9th St SW
Canton, OH 44707
Phone (330) 454-2000

2725 Lincoln St E
Canton, OH 44707
Phone (330) 454-2000

830 Amherst Rd NE
Massillon, OH 44646
Phone (330) 454-2000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1962510966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 EXPLORER RD SW",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "44615",
            "telephone_number": "330-407-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 HARRISON AVE NW",
            "address_2": "SUITE 302",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447082620",
            "telephone_number": "330-452-9900",
            "fax_number": "330-452-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONKEY",
        "first_name": "MARTHA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "COA.09488NP",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "APRN.CNP09488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.