LARAE TYMOCHKO (NPI# 1013452622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013452622 |
Entity Type | Individual |
Full Name | LARAE TYMOCHKO |
Credential | PA-C |
Practice Address |
1350 E Market St Warren OH 44483-6608 |
Mailing Address |
1353 E Market St Warren OH 44483-6637 |
Practice Telephone | 3308419011 |
Mailing Telephone | 7244567587 |
Enumeration Date | 2017-01-05 |
Last Update Date | 2020-08-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50.005833RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
1000 N Oak Ave, Marshfield, WI 544495703 | 7153875511 |
Street Address |
1350 E MARKET ST |
City | WARREN |
State | OH |
Zip Code | 44483-6608 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508850611 | Ernest Depasquale | Emergency Medicine | 1350 E Market St, Warren, OH 44483-6608 | 2005-09-02 |
1215566005 | Sterling Shriber II | Student in an Organized Health Care Education/Training Program | 1350 E Market St, Warren, OH 44483-6608 | 2020-04-03 |
1689201659 | Ravi Shashank Patel | Student in an Organized Health Care Education/Training Program | 1350 E Market St, Warren, OH 44483-6608 | 2020-03-26 |
1861029506 | Michael Aziz | Student in an Organized Health Care Education/Training Program | 1350 E Market St, Warren, OH 44483-6608 | 2020-03-24 |
1275160939 | Sohail Merchant | Student in an Organized Health Care Education/Training Program | 1350 E Market St, Warren, OH 44483-6608 | 2020-03-24 |
1033744966 | Pamela S, Evans | Dietitian, Registered | 1350 E Market St, Warren, OH 44483-6608 | 2020-03-11 |
1083249924 | Apryl Elaine Hostetler | Dietitian, Registered | 1350 E Market St, Warren, OH 44483-6608 | 2020-03-11 |
1598328734 | Monya Robinson | Nurse Practitioner | 1350 E Market St, Warren, OH 44483-6608 | 2019-04-14 |
1023570850 | Vaishnavi Balendiran | Student in an Organized Health Care Education/Training Program | 1350 E Market St, Warren, OH 44483-6608 | 2019-04-01 |
1356802052 | Muhamad Akram Festok | Student in an Organized Health Care Education/Training Program | 1350 E Market St, Warren, OH 44483-6608 | 2019-03-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
1336619964 | Alexis Valentino | Nurse Practitioner | 247 Oak Knoll Se, Warren, OH 44483 | 2018-11-27 |
1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
1205388634 | Laurie L Horvath | Midwife | 1651 E Market, Warren, OH 44483 | 2016-11-02 |
1235586264 | Travis Robert Dickey | Physical Therapist | 4329 Mahoning Ave. Nw, Warren, OH 44483 | 2016-05-19 |
Find all providers in zip 44483 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
1710348701 | Alex Blake | Physician Assistant | 10743 S State Route 133, Blanchester, OH 45107-9435 | 2016-03-17 |
1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
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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.