MEDICARE: NORTH CANTON MEDICAL FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2084A0401X	OTHER		TAXONOMY

General Provider Information

NPI Number	:	1649383340
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH CANTON MEDICAL FOUNDATION

Provider Business Mailing Address
First Line	:	6046 WHIPPLE AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7616
Country	:	US
Telephone Number	:	330-433-1200
Fax Number	:	330-305-5047

Provider Business Practice Location Address
First Line	:	6513 FRANK AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-7265
Country	:	US
Telephone Number	:	330-433-1300
Fax Number	:	330-494-0828

Authorized Official
Title or Position	:	CFO
Name	:	MR. TIMOTHY J. MURPHY
Credential	:
Telephone Number	:	330-433-1400

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	03/13/2009

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1417934100 — DR. SAMUEL PAUL WISE DDS
Practice Location Address:

6529 FRANK AVE NW
NORTH CANTON, OH
44720-7265

Practice Phone: 330-433-1000
Practice Fax:

1386691921 — CANTON WOMEN'S CENTER INC
Practice Location Address:

6555 FRANK AVE NW
NORTH CANTON, OH
44720-7265

Practice Phone: 330-966-9090
Practice Fax: 330-966-9030

1477584381 — MR. JORGE RAUL ROMERO MD
Practice Location Address:

6555 FRANK AVE NW
NORTH CANTON, OH
44720-7265

Practice Phone: 330-966-9090
Practice Fax: 330-966-9030

1679681282 — DR. DIANNE KREPTOWSKI D.O.
Practice Location Address:

6509 FRANK AVE NW
NORTH CANTON, OH
44720-7265

Practice Phone: 330-244-0480
Practice Fax: 330-244-2230

1386798684 — DR. MATTHEW JOHN THIEL DDS
Practice Location Address:

6503 FRANK AVE NW
NORTH CANTON, OH
44720-7265

Practice Phone: 330-244-9030
Practice Fax: 330-244-9099

Directions to “NORTH CANTON MEDICAL FOUNDATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.