| Melissa Erin Prokop, NURSE PRACTITIONER | |
| 1020 Trump Rd Nw, Carrollton, OH 44615-8422 | |
| (330) 627-0091 | |
| Not Available | 
| Full Name | Melissa Erin Prokop | 
|---|---|
| Gender | Female | 
| Speciality | Family Medicine | 
| Location | 1020 Trump Rd Nw, Carrollton, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770246084 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | APRN.CNP.0029992 (Ohio) | Secondary | 
| 207Q00000X | Family Medicine | LE-00037367 (Ohio) | Primary | 
| Entity Name | Orrville Hospital Foundation | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1891718375 PECOS PAC ID: 7911890546 Enrollment ID: O20040206000004 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Melissa Erin Prokop, NURSE PRACTITIONER Po Box 80690, Canton, OH 44708-0690 Ph: (330) 363-7444 | Melissa Erin Prokop, NURSE PRACTITIONER 1020 Trump Rd Nw, Carrollton, OH 44615-8422 Ph: (330) 627-0091 | 
| Dr. Gary Wayne Clark, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Canton Rd Nw, Carrollton, OH 44615 Phone: 330-627-7641 Fax: 330-627-5796 | |
| Carl R Fry, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Trump Rd Nw Ste 4, Carrollton, OH 44615 Phone: 330-627-0884 Fax: 330-627-0885 | |
| Stephen Grossi, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1020 Trump Rd Nw Ste 2&4, Carrollton, OH 44615 Phone: 330-627-7055 Fax: 330-627-7602 | |
| Dr. Matthew D Inman, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Canton Rd Nw, Suite A, Carrollton, OH 44615 Phone: 330-627-8163 Fax: 330-627-0197 | |
| Emily Brown, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1020 Trump Rd Nw, Carrollton, OH 44615 Phone: 330-627-0091 | |
| Walter Scott Stine, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Trump Rd Nw, Carrollton, OH 44615 Phone: 330-627-7055 Fax: 330-627-7602 |