BRETZYL M LISCOE (NPI# 1003434952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003434952 |
| Entity Type | Individual |
| Full Name | BRETZYL M LISCOE |
| Practice Address |
630 E River St Elyria OH 44035-5902 |
| Mailing Address |
17703 Hicks Rd Bedford OH 44146-4332 |
| Practice Telephone | 4403238515 |
| Mailing Telephone | 4405250811 |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APRN.CNP.0027013 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
APRN.CNP.0027013 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
630 E RIVER ST |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-5902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841299039 | Emh Regional Medical Center | General Acute Care Hospital | 630 E River St, Elyria, OH 44035-5902 | 2005-07-19 |
| 1467069989 | James Kellogg II | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2020-09-29 |
| 1326651761 | Vicki J Sexstella | Respiratory Therapist, Registered | 630 E River St, Elyria, OH 44035-5902 | 2020-08-25 |
| 1760009633 | Ashley Tobicash | Family Medicine | 630 E River St, Elyria, OH 44035-5902 | 2020-06-26 |
| 1144843673 | Johnna Diaz | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-05-19 |
| 1295357911 | Denise N Dalton | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-05-15 |
| 1568094530 | Lori Clark | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2020-02-07 |
| 1467083501 | Debora Petani | Physician Assistant | 630 E River St, Elyria, OH 44035-5902 | 2020-01-28 |
| 1487292272 | Amy S Newton | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2019-12-12 |
| 1295387231 | Stephanie Christina Flynn | Nurse Practitioner | 630 E River St, Elyria, OH 44035-5902 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 363LC0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Critical Care Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1740831080 | Michelle Renee Gayheart | Nurse Practitioner | 860 E Broad St Ste 1, Elyria, OH 44035-6542 | 2019-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558810648 | Britney Ann Iannantuono | Nurse Practitioner | 3535 Olentangy River Rd Ste 6300, Columbus, OH 43214-3908 | 2016-09-29 |
| 1134744378 | Stacey Michelle Callison | Nurse Practitioner | 9000 N Main St, Englewood, OH 45415-1180 | 2020-06-13 |
| 1225651029 | Stephanie Dawson | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-05-27 |
| 1821617903 | Kevin Barth | Nurse Practitioner | 2142 N Cove Blvd, Toledo, OH 43606-3895 | 2020-04-09 |
| 1811521248 | Amanda D Lott | Nurse Practitioner | 1003 Bellefontaine Ave Ste 150, Lima, OH 45804-1871 | 2020-02-25 |
| 1689228538 | Deja Lea Hillman | Nurse Practitioner | 1 Medical Center Dr, Middletown, OH 45005-2584 | 2019-07-30 |
| 1699328294 | Patricia Albano-seitz | Nurse Practitioner | 730 W Market St, Lima, OH 45801-4602 | 2019-07-23 |
| 1447803069 | Christian Daniel Brienik | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2019-07-23 |
| 1629637780 | Tyler Jacob Jones | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-06-11 |
| 1811472061 | Kathryn Mae Bash | Nurse Practitioner | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2018-10-03 |
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| 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.