| Community Health Care Inc. | |
|
944 Cherry St E Canal Fulton OH 44614-8669 | |
| (330) 854-4574 | |
| (330) 854-0829 |
| Full Name | Community Health Care Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 944 Cherry St E, Canal Fulton, Ohio |
| Authorized Official Name and Position | Rodney K. Ison (CEO, PRESIDENT) |
| Authorized Official Contact | 3308544574 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Care Inc. 1193 Norton Ave Ste. A Norton OH 44203-9516 Ph: (330) 825-1152 | Community Health Care Inc. 944 Cherry St E Canal Fulton OH 44614-8669 Ph: (330) 854-4574 |
| NPI Number | 1114902137 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 07/24/2023 |
| Medicare PECOS PAC ID | 1052207727 |
|---|---|
| Medicare Enrollment ID | O20040227000660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114902137 | NPI | - | NPPES |
| CK4119 | Other | OH | RAILROAD MEDICARE GROUP |
| 0827538 | Medicaid | OH | |
| 2167211 | Medicaid | OH | |
| CF0079 | Other | OH | RAILROAD MEDICARE GROUP |
| 0642479 | Medicaid | OH | |
| 0683890 | Medicaid | OH | |
| 2717822 | Medicaid | OH | |
| CF1366 | Other | OH | MEDICARE RAILROAD GROUP |
| 0683194 | Medicaid | OH | |
| 0842217 | Medicaid | OH | |
| 2267658 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Douglas A Wenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568564342 PECOS PAC ID: 7315974565 Enrollment ID: I20050720000305 |
| Provider Name | Jill Lynn Parrish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306883186 PECOS PAC ID: 4082627732 Enrollment ID: I20060724000214 |
| Provider Name | Brent R Swartzentruber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134262447 PECOS PAC ID: 2062516818 Enrollment ID: I20070403000646 |
| Provider Name | Paulo M Borges |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366650418 PECOS PAC ID: 5092881482 Enrollment ID: I20080909000411 |
| Provider Name | Michelle Holmer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588640668 PECOS PAC ID: 2567508278 Enrollment ID: I20091012000154 |
| Provider Name | Rodney K Ison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235114174 PECOS PAC ID: 8325935943 Enrollment ID: I20091020000256 |
| Provider Name | James Bailey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669458782 PECOS PAC ID: 3577601038 Enrollment ID: I20091104000106 |
| Provider Name | Jessica L Falvo Lang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043295892 PECOS PAC ID: 1355482829 Enrollment ID: I20100106000004 |
| Provider Name | Kristin J Trump |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184609950 PECOS PAC ID: 3779470398 Enrollment ID: I20100106000476 |
| Provider Name | Linda Keith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790761047 PECOS PAC ID: 9234270273 Enrollment ID: I20100112000848 |
| Provider Name | Erin B Weber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215977095 PECOS PAC ID: 7911040845 Enrollment ID: I20100201000507 |
| Provider Name | Ajay Nair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558347013 PECOS PAC ID: 1153218771 Enrollment ID: I20100208000668 |
| Provider Name | Joseph D Stokes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053396812 PECOS PAC ID: 6507753126 Enrollment ID: I20100215000009 |
| Provider Name | Tamara L Lincoln |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861471997 PECOS PAC ID: 5698819688 Enrollment ID: I20100215000019 |
| Provider Name | Thomas F Ruzics |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205949856 PECOS PAC ID: 2961546262 Enrollment ID: I20100224000982 |
| Provider Name | Pamela A Rucki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548246176 PECOS PAC ID: 9537056155 Enrollment ID: I20100226000625 |
| Provider Name | Walter A Klatt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689667818 PECOS PAC ID: 1254311962 Enrollment ID: I20100331000002 |
| Provider Name | Rita R Kazlauskas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841277670 PECOS PAC ID: 0648307181 Enrollment ID: I20100415000007 |
| Provider Name | Steven G Scheufler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528044799 PECOS PAC ID: 8527955145 Enrollment ID: I20100524000444 |
| Provider Name | Diane S Belardo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285610790 PECOS PAC ID: 3072400696 Enrollment ID: I20100607000709 |
| Provider Name | Hope L James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992904056 PECOS PAC ID: 4587841481 Enrollment ID: I20110601000706 |
| Provider Name | Brady S Steineck |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164678298 PECOS PAC ID: 0042497539 Enrollment ID: I20110609000565 |
| Provider Name | David M Olson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871828863 PECOS PAC ID: 0547425613 Enrollment ID: I20120625000110 |
| Provider Name | Amy M Petrillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174874846 PECOS PAC ID: 1153571617 Enrollment ID: I20121019000030 |
| Provider Name | Amy M Mikusa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285034116 PECOS PAC ID: 0840410130 Enrollment ID: I20141009000228 |
| Provider Name | Darcy J Drevon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083003784 PECOS PAC ID: 0840516696 Enrollment ID: I20150313000838 |
| Provider Name | William M Duggan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952543993 PECOS PAC ID: 1355598137 Enrollment ID: I20150615002390 |
| Provider Name | Rishin C Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730434291 PECOS PAC ID: 8820304231 Enrollment ID: I20150831002616 |
| Provider Name | Alexa Naoum Matsui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477920106 PECOS PAC ID: 2668789074 Enrollment ID: I20150917001493 |
| Provider Name | Jenna L Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437524519 PECOS PAC ID: 6305147109 Enrollment ID: I20151221002139 |
| Provider Name | Mary K Akers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942753322 PECOS PAC ID: 9436445376 Enrollment ID: I20160901001534 |
| Provider Name | Kimberly A Dye |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225481880 PECOS PAC ID: 5597051276 Enrollment ID: I20160906002164 |
| Provider Name | Emily M George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093057283 PECOS PAC ID: 6305079583 Enrollment ID: I20160927002359 |
| Provider Name | Angela Hissner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699219188 PECOS PAC ID: 3971886375 Enrollment ID: I20170209000823 |
| Provider Name | Candace K Decourville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285155945 PECOS PAC ID: 2062786676 Enrollment ID: I20170920003585 |
| Provider Name | Brittany F Marshall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538574553 PECOS PAC ID: 5294095865 Enrollment ID: I20180131001371 |
| Provider Name | Gina Marie Oriti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306333208 PECOS PAC ID: 9335404136 Enrollment ID: I20180529000713 |
| Provider Name | Rachel N Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467834218 PECOS PAC ID: 3375892425 Enrollment ID: I20180822001864 |
| Provider Name | Jessica St Clair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437638376 PECOS PAC ID: 5698025781 Enrollment ID: I20180911003002 |
| Provider Name | Ashley Korosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366900649 PECOS PAC ID: 6204176829 Enrollment ID: I20190319000636 |
| Provider Name | Sara Marie Tokie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174177851 PECOS PAC ID: 3274862024 Enrollment ID: I20190904002587 |
| Provider Name | Heather Lynn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609424282 PECOS PAC ID: 9133459860 Enrollment ID: I20190924000711 |
| Provider Name | Leandria Tazewell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497145098 PECOS PAC ID: 4082913728 Enrollment ID: I20191002003641 |
| Provider Name | Dishon Malova Kamwesa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841831765 PECOS PAC ID: 7214293745 Enrollment ID: I20191218003284 |
| Provider Name | Brent Grass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295353183 PECOS PAC ID: 7315362977 Enrollment ID: I20200730001362 |
| Provider Name | Michael Simonson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356875967 PECOS PAC ID: 5294005120 Enrollment ID: I20200820003110 |
| Provider Name | Antonio T Vargas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538779442 PECOS PAC ID: 4486071495 Enrollment ID: I20200903003643 |
| Provider Name | Amanda Montemayor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427669027 PECOS PAC ID: 2365860855 Enrollment ID: I20200915003103 |
| Provider Name | Amanda Katherine Deuley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831567254 PECOS PAC ID: 7416356738 Enrollment ID: I20210518003015 |
| Provider Name | Angela Indorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093309593 PECOS PAC ID: 8628472800 Enrollment ID: I20210810002950 |
| Provider Name | Heather Lollman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033743869 PECOS PAC ID: 9133557226 Enrollment ID: I20210824001934 |
| Provider Name | Krista Jaworski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518635168 PECOS PAC ID: 6002213196 Enrollment ID: I20210915003319 |
| Provider Name | Elisabeth J. Gruber Dillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407358401 PECOS PAC ID: 0143611301 Enrollment ID: I20211222001602 |
| Provider Name | Vincenzo Domenico Pilolli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063171163 PECOS PAC ID: 7911122338 Enrollment ID: I20211228001445 |
| Provider Name | Sandeep Kaur Chatha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922502533 PECOS PAC ID: 6406248962 Enrollment ID: I20220113002323 |
| Provider Name | Sarah L Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962941641 PECOS PAC ID: 1557630951 Enrollment ID: I20220719000752 |
| Provider Name | Grace Song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255891529 PECOS PAC ID: 0244655074 Enrollment ID: I20220728003156 |
| Provider Name | Mckayla Eberhardt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457073124 PECOS PAC ID: 5092181180 Enrollment ID: I20221013003536 |
| Provider Name | Loralee Romano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336864214 PECOS PAC ID: 7113393158 Enrollment ID: I20221017002599 |
| Provider Name | Alyson June Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336864529 PECOS PAC ID: 3870961626 Enrollment ID: I20221129000537 |
| Provider Name | Dominique Nicole Blagojevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821725888 PECOS PAC ID: 2860862380 Enrollment ID: I20221228000448 |
| Provider Name | Ashley May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275244147 PECOS PAC ID: 1850761255 Enrollment ID: I20221229001453 |
| Provider Name | Diana C Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013917202 PECOS PAC ID: 0941332597 Enrollment ID: I20230404001162 |
| Provider Name | Krystal Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609597103 PECOS PAC ID: 5799140539 Enrollment ID: I20230428002476 |
| Provider Name | Kelsey Casano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639858913 PECOS PAC ID: 9032570320 Enrollment ID: I20230802004118 |
| Provider Name | Jennifer Yanke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467132381 PECOS PAC ID: 3274995592 Enrollment ID: I20230817001892 |
| Provider Name | Brooke Kling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912784943 PECOS PAC ID: 7214382225 Enrollment ID: I20231011002556 |
| Provider Name | Donna Foradori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750161436 PECOS PAC ID: 7113373747 Enrollment ID: I20231102000462 |
| Provider Name | Philip Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609280809 PECOS PAC ID: 7810345386 Enrollment ID: I20231121002973 |
| Provider Name | Madeleine Campbell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225756711 PECOS PAC ID: 3577948660 Enrollment ID: I20231211002857 |
| Provider Name | Mary Beth Seaman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033325055 PECOS PAC ID: 3173973104 Enrollment ID: I20240103000771 |
| Provider Name | Gregory Jurica |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215339916 PECOS PAC ID: 2062862014 Enrollment ID: I20240103001666 |
| Provider Name | Mahmethan M Shadid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356978456 PECOS PAC ID: 4385087410 Enrollment ID: I20240206002388 |
Family Medical Care Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9164 Ruby Ridge St Nw, Canal Fulton, OH 44614 Phone: 330-854-1892 Fax: 330-776-5557 |