MR. MICHAEL PAUL LAGERSTRAND SR. (NPI# 1013156652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013156652 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL PAUL LAGERSTRAND SR. |
| Credential | CO |
| Practice Address |
3200 Vine St 539/121 Cincinnati OH 45220-2213 |
| Practice Telephone | 5138613100 |
| Practice Fax Number | 5134876693 |
| Mailing Telephone | 5138613100 |
| Mailing Fax Number | 5134876693 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
CO004304 | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS & PROSTHETICS | COOO4304 | 01 |
| Street Address |
3200 VINE ST 539/121 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45220-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082595 | Douglas K Hawley | Internal Medicine | 3200 Vine St, Cincinnati, OH 45220-2213 | 2005-09-08 |
| 1649879370 | Kaydi Dodd | Social Worker | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-10-23 |
| 1043827397 | Olivia Isabella Schaefer | Psychiatry & Neurology | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-09-29 |
| 1346857216 | Caroline Ann Durstock | Occupational Therapist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-09-25 |
| 1881209989 | Catherine Pearsall | Physical Therapist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-09-15 |
| 1386259174 | Lauren Stover | Registered Nurse | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-09-09 |
| 1750994265 | Rachel Catherine Blain | Psychologist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-08-25 |
| 1881206639 | Charlene Tanner Melvin-jones | Licensed Practical Nurse | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-08-21 |
| 1669084158 | David Macchia | Physical Therapist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-08-18 |
| 1316558422 | Anna Catherine Martini | Audiologist | 3200 Vine St, Cincinnati, OH 45220-2213 | 2020-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003414558 | Gerthlan LLC | Home Health | 3220 Jefferson Avenue, Suite 21, Cincinnati, OH 45220 | 2020-10-15 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1982262648 | Frank Hiroshi Harris | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Avenue Dept Of, Internal Medicine Residency, Cincinnati, OH 45220 | 2019-05-29 |
| 1184121303 | Patina E Nelson | Counselor | 311 Martin Luther King Dr W, Cincinnati, OH 45220 | 2018-04-13 |
| 1558701540 | Mohd Amer Alsamman | Internal Medicine | 375 Dixmyth Avenue - Good Samaritan Hospital, 3rd Floor, Medical Education, Cincinnati, OH 45220 | 2013-07-05 |
| 1104057868 | Dorothy Kimberly Grizzell | Occupational Therapy Assistant | 440 Lafayette Ave., Cincinnati, OH 45220 | 2009-07-29 |
| 1184865651 | Maria C Nicholson | Dietitian, Registered | 3219 Clifton Avenue, Suite 325, Cincinnati, OH 45220 | 2009-03-13 |
| 1508066507 | Amy Elizabeth Banks | Physical Therapist | Cincinnati Va Medical Center 3200 Vine Street, Cincinnati, OH 45220 | 2007-07-19 |
| 1821213968 | Ann Gelke | Psychiatry & Neurology | 3447 Cornell Pl, Cincinnati, OH 45220 | 2007-04-16 |
| 1538283627 | Manish Srivastava | Internal Medicine | 375 Dixmyth Ave 8th Floor, Cincinnati, OH 45220 | 2007-03-16 |
| Find all providers in zip 45220 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609474535 | Custom Ce LLC | Specialist | 4224 Chambers St, Cincinnati, OH 45223-1826 | 2020-10-13 |
| 1992264691 | Shante Franklin | Specialist | 5336 Globe Ave, Cincinnati, OH 45212-1561 | 2019-03-13 |
| 1891266243 | Eboni Shavon Everage | Specialist | 3501 Burnet Ave, Cincinnati, OH 45229-2878 | 2018-12-11 |
| 1043730534 | Kimberly Renee Jenkins | Specialist | 11741 Hanover Rd, Cincinnati, OH 45240-1915 | 2017-06-26 |
| 1518416916 | Niyoka Langston | Specialist | 660 E Mcmillan St, Cincinnati, OH 45206-1959 | 2016-09-26 |
| 1811351711 | Makisha Miller | Specialist | 7377 Brookcrest Dr, Cincinnati, OH 45237-3407 | 2016-04-07 |
| 1326421264 | Kelly Dozier | Specialist | 1120 Kemper Meadow Dr, Cincinnati, OH 45240-4117 | 2015-07-08 |
| 1992198436 | Teresa Smith | Specialist | 3848 Paxton Ave, Suite 25, Cincinnati, OH 45209-2399 | 2015-03-09 |
| 1225595564 | Dayll Griffith | Specialist | 660 E Mcmillan St, Cincinnati, OH 45206-1959 | 2019-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151876 | Toni Holmes | Specialist | 1841 Spring Grove Ln, Middletown, OH 45044-2946 | 2020-10-16 |
| 1396201299 | Islay LLC | Specialist | 524 Park Ave W, Mansfield, OH 44906-3720 | 2019-02-15 |
| 1316401060 | Lauren Deseret Walker | Specialist | 230 Northland Blvd Ste 300, Springdale, OH 45246-3600 | 2019-01-28 |
| 1609340686 | Dawn Denean Rucker-turner | Specialist | 210 Springboro Pike, Dayton, OH 45449-3640 | 2019-01-14 |
| 1063983617 | Tamora Boykin | Specialist | 1830 Wakefield Dr, Akron, OH 44320-1648 | 2018-12-07 |
| 1124595301 | Timiko S Kiner | Specialist | 1244 Flaire Dr Ste 105, Toledo, OH 43615-4671 | 2018-10-25 |
| 1710490172 | Ac Styles LLC | Specialist | 4281 Morse Rd, Gahanna, OH 43230-1522 | 2017-11-08 |
| 1780197285 | A Diva's Dream Salon LLC | Specialist | 23054 Emery Rd, Warrensville Heights, OH 44128-5135 | 2017-11-07 |
| 1659800100 | Alan John Kercher | Specialist | 101 Terrace Villa Dr, Centerville, OH 45459-4732 | 2017-06-08 |
| 1811429673 | Denise Mays | Specialist | 15564 County Airport Rd, East Liverpool, OH 43920-9736 | 2017-03-31 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45220 |
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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.