COMMUNITY HEALTH CARE INC. – Family Medicine Physician, NPI 1114902137
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COMMUNITY HEALTH CARE INC.
1700 Boettler Rd Ste 100
Uniontown, OH 446857793
Phone: (330) 896-0009
Fax: (330) 896-0032
Type: Location
5147 Manchester Rd
New Franklin, OH 443193911
Phone: (330) 644-3747
Fax: (330) 644-9815
Type: Location
7034 Braucher St NW
North Canton, OH 447206326
Phone: (330) 754-2425
Fax: (330) 754-2187
Type: Location
6101 Whipple Ave NW
North Canton, OH 447207617
Phone: (330) 537-8114
Fax: (330) 537-8063
Type: Location
3614 Manchester Rd Ste 101
Coventry Township, OH 443192160
Phone: (330) 644-2234
Fax: (330) 854-0829
Type: Location
153 Collier Dr
Doylestown, OH 442301208
Phone: (330) 658-1550
Fax: (330) 658-1699
Type: Location
855 W Maple St Ste 110
Hartville, OH 446327601
Phone: (330) 877-3616
Fax: (330) 877-1783
Type: Location
1302 W Main St Ste A
Louisville, OH 446411114
Phone: (330) 875-5544
Fax: (330) 875-8150
Type: Location
6724 Wales Ave NW
Massillon, OH 446469006
Phone: (330) 837-4264
Fax: (330) 837-9195
Type: Location
7452 Fulton Dr NW Ste A
Massillon, OH 446469393
Phone: (330) 880-4111
Fax: (330) 833-1817
Type: Location
2839 Copley Rd
Copley, OH 443212154
Phone: (330) 666-2022
Fax: (330) 665-9659
Type: Location
169 5th St SE Ste A
Barberton, OH 442039003
Phone: (330) 745-3080
Fax: (330) 854-0829
Type: Location
7452 Fulton Dr NW Ste B
Massillon, OH 446469393
Phone: (330) 833-4596
Fax: (330) 854-0829
Type: Location
860 Broad St
Wadsworth, OH 442819052
Phone: (330) 331-7106
Fax: (330) 331-7556
Type: Location
1193 Norton Ave Ste A
Norton, OH 442039526
Phone: (330) 825-0847
Fax: (330) 825-9569
Type: Location
2971 Graham Rd
Stow, OH 442243619
Phone: (330) 688-7981
Fax: (330) 688-7469
Type: Location
944, Cherry Street East, Canal Fulton Historic District, West Fulton, Canal Fulton, Stark County, Ohio, 44614, United States
CANAL FULTON, OH 446148669
Phone: (330) 854-4574
Fax: (330) 854-0829
Type: Location
1193, Norton Avenue, Norton, Summit County, Ohio, 44203, United States
STE. A
NORTON, OH 442039516
Phone: (330) 825-1152
Fax: (330) 825-9569
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (312 days ago).
Enrollment records
1
Earliest due date
2025-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040227000660 | O | Clinic/Group Practice | OH | 2025-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44685)
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