John Prodafikas
Internal Medicine (Cardiovascular Disease)

Address: 2600 6th St Sw, Suite A2-710, Canton, OH 44710-1702
Phone: 3304548076

John Prodafikas (NPI# 1831178813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1831178813
Entity Type Individual
Full Name John Prodafikas
Credential M.D.
Gender Male
Practice Address 2600 6th St Sw
Suite A2-710
Canton
OH 44710-1702
Practice Telephone 3304548076
Practice Fax Number 3304543927
Mailing Address 2600 6th St Sw
Suite A2-710
Canton
OH 44710-1702
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-01-10
Last Update Date 2008-04-17

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RC0000X Internal Medicine · Cardiovascular Disease Allopathic & Osteopathic Physicians 35-08-2153 OH

Other Provider Identifier

State Identifier Issuer Type Code
OH 2388009 MEDICAID

Physician Overview

NPI 1831178813
PAC ID by PECOS 5294702999
Professional Enrollment ID I20040913000876
Full Name John Prodafikas
Organization Legal Name OHIO PHYSICIAN PROFESSIONAL CORPORATION
Phone Number 3303632180
Gender M
Credential MD
Medical School TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1993
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 2668406059
Number of Group Practice Members 138
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360084 AULTMAN HOSPITAL
360131 ALLIANCE COMMUNITY HOSPITAL
360010 UNION HOSPITAL
360185 SALEM REGIONAL MEDICAL CENTER
361323 AULTMAN ORRVILLE HOSPITAL

Office Location

Street Address 2600 6TH ST SW
SUITE A2-710
City CANTON
State OH
Zip Code 44710-1702

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700885142 Michael W Soehnlen Radiology 2600 6th St Sw, Radiology Associates of Canton, Inc., Canton, OH 44710-1702 2005-07-19
1750855078 Alan Cheverine Nurse Practitioner 2600 6th St Sw, Canton, OH 44710-1702 2019-01-21
1235608209 Elise Coudriet Nurse Practitioner 2600 6th St Sw, Canton, OH 44710-1799 2018-11-19
1114494341 Nicholas Gotschall Nurse Practitioner 2600 6th St Sw, Canton, OH 44710-1702 2018-10-25
1982189734 Leslie Gunion Nurse Anesthetist, Certified Registered 2600 6th St Sw, Canton, OH 44710-1702 2018-09-27
1356825053 Phillip Shearer Nurse Anesthetist, Certified Registered 2600 6th St Sw, Canton, OH 44710-1702 2018-09-18
1861971137 Brent Andrew Nowicki Physician Assistant 2600 6th St Sw, Canton, OH 44710-1702 2018-08-08
1720588320 Julie Renee Robinson Nurse Practitioner 2600 6th St Sw, Canton, OH 44710-1702 2018-02-20
1306350947 Jennifer Adele Lute Nurse Practitioner 2600 6th St Sw, Canton, OH 44710-1702 2017-11-17
1861902355 Kyle William Albaugh Nurse Anesthetist, Certified Registered 2600 6th St Sw, Canton, OH 44710-1702 2017-10-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093219024 Philip Anthony Femano IIi Student in an Organized Health Care Education/Training Program Amanda Fouts; Medical Education, 2600 6th St Sw, Canton, Oh 44710, Canton, OH 44710 2018-03-23
1962949883 Chauntelle Andrews Nursing Care 3210 14th St Sw, Canton, OH 44710 2017-01-30
1770032146 Tammy Lamotte Registered Nurse 3302 11th St Sw, Canton, OH 44710 2016-09-27
1861898280 Heather Nicole Burrier Registered Nurse 2823 9th St. Sw, Cedar School, Canton, OH 44710 2014-11-12
1437569688 Kameika Thomas Licensed Practical Nurse 2704 9th St Sw, Canton, OH 44710 2014-04-28
1043444649 Laurie L Hanne Internal Medicine 2600 6th St.sw, Canton, OH 44710 2009-05-11
1164664124 George Papacostas, LLC General Acute Care Hospital 2600 6th Street Sw, Aultman Wound Care Center, Canton, OH 44710 2009-04-06
1598904419 Donna Fall Blackwell Nurse Practitioner 2600 6th Street, Canton, OH 44710 2009-02-17
1104921980 Brooks E Bolyard Pathology 2600 Sixth St, Canton, OH 44710 2006-09-14
1013012897 Daniel Wasdahl Pathology 2600 6th St, Canton, OH 44710 2006-09-14
Find all providers in zip 44710

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982168100 Optimum Cardiology Inc Internal Medicine 4825 Higbee Ave Nw Ste 120, Canton, OH 44718-2567 2019-01-23
1861716508 Premier Diagnostics PC Internal Medicine 48492 Inveraray Rd, Canton, MI 48188 2010-03-24
1477593572 Daniel Andrew Pietro Internal Medicine 19 Hunter Ln, Canton, MA 02021-1731 2006-06-07
1548269756 David J. Utlak Internal Medicine 4455 Dressler Rd Nw, Canton, OH 44718-2769 2005-07-19
1487653986 Stephen W Pipoly Internal Medicine 1330 Mercy Drive Nw, Suite 410, Canton, OH 44708 2005-07-18
1154329928 Kirk B Laman Internal Medicine 15 Reinhardt College Pkwy, Suite 110, Canton, GA 30114-5257 2005-07-14
1619212305 Summa Physicians Inc Internal Medicine 4466 Fulton Dr Nw, Canton, OH 44718-2864 2012-12-06
1427333293 Wellstar Cardiovascular Medicine, LLC Internal Medicine 720 Transit Ave, Suite 102, Canton, GA 30114-2540 2011-10-12
1306086228 Kennestone Heart Physicians Group Internal Medicine 200 Oakside Ln, Suite D, Canton, GA 30114-6416 2009-03-05
1184864258 Kennestone Heart Physicians Group, PC Internal Medicine 720 Transit Ave, Building 100, Suite 102, Canton, GA 30114-2540 2009-03-02
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 44710

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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