MARYMOUNT PRIMARY CARE SERVICES, INC (NPI# 1023089653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023089653 |
| Entity Type | Organization |
| Organization Name | MARYMOUNT PRIMARY CARE SERVICES, INC |
| Practice Address |
17747 Chillicothe Rd Suite 100 Chagrin Falls OH 44023-4739 |
| Practice Telephone | 4405438855 |
| Practice Fax Number | 4405432470 |
| Mailing Telephone | 4405438855 |
| Mailing Fax Number | 4405432470 |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | MR. PETER P WALCHANOWICZ (PRACTICE MANAGER) |
| Authorized Official Telephone | 4405438855 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0139719 | 05 | |
| OH | ANTHEM | 000000028432 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639361074 | Marymount Primary Care Services, Inc | Obstetrics & Gynecology | 12000 Mccracken Rd, Suite 450, Garfield Heights, OH 44125-2964 | 2007-08-09 |
| 1326230764 | Marymount Primary Care Services, Inc | Obstetrics & Gynecology | 34501 Aurora Rd, Suite 101, Solon, OH 44139-3873 | 2007-08-09 |
| 1326265000 | Marymount Primary Care Services, Inc | Durable Medical Equipment & Medical Supplies | 4400 Rockside Rd, Suite 2100, Independence, OH 44131-2109 | 2007-04-20 |
| Street Address |
17747 CHILLICOTHE RD SUITE 100 |
| City | CHAGRIN FALLS |
| State | OH |
| Zip Code | 44023-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093708059 | Lawrence H. Oswick | Dentist | 17747 Chillicothe Rd, #205, Chagrin Falls, OH 44023-4739 | 2005-08-25 |
| 1467869610 | Anaya Farrell | Marriage & Family Therapist | 17747 Chillicothe Rd, Suite 105, Chagrin Falls, OH 44023-4739 | 2014-07-21 |
| 1285979666 | Optical Center, Inc. | Eyewear Supplier (Equipment, not the service) | 17747 Chillicothe Rd, Chagrin Falls, OH 44023-4739 | 2012-12-11 |
| 1053631820 | Kenneth John Novak | Dentist | 17747 Chillicothe Rd, Suite 206, Chagrin Falls, OH 44023-4739 | 2010-06-03 |
| 1992958227 | Marymount Care Services LLC | Internal Medicine | 17747 Chillicothe Rd, Suite 100, Chagrin Falls, OH 44023-4739 | 2008-10-30 |
| 1801088604 | Genesis Counseling Center, Inc. | Psychiatry & Neurology | 17747 Chillicothe Rd, Ste 202, Chagrin Falls, OH 44023-4739 | 2007-08-15 |
| 1730216433 | Thomas Gustaferro Md Inc | Ophthalmology | 17747 Chillicothe Rd, Ste 106, Chagrin Falls, OH 44023-4739 | 2007-02-28 |
| 1063572089 | Gary T Baughman | Counselor | 17747 Chillicothe Rd, Suite 202, Chagrin Falls, OH 44023-4739 | 2006-12-11 |
| 1023178050 | Jaime Bishop | Counselor | 17747 Chillicothe Rd, Suite 105, Chagrin Falls, OH 44023-4739 | 2006-12-11 |
| 1255442315 | Lawrence H. Oswick, D.d.s., Inc. | Dentist | 17747 Chillicothe Rd, #205, Chagrin Falls, OH 44023-4739 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255850244 | Tiffani Lauryn Mattson | Specialist/Technologist | 16783 Snyder Road, Chagrin Falls, OH 44023 | 2017-09-12 |
| 1518407824 | Marcia Shaunta Biggs | Student in an Organized Health Care Education/Training Program | 16754 Findlay St, Chagrin Falls, OH 44023 | 2017-03-06 |
| 1427391853 | Andrea Ward | Obstetrics & Gynecology | 8185 E. Washington Street, Chagrin Falls, OH 44023 | 2013-04-04 |
| 1346576287 | Jennifer Rose Cochran | Home Health Aide | 7695 Pettibone Rd, Chagrin Falls, OH 44023 | 2009-10-28 |
| 1013162700 | Eric Jason Lewis | Registered Nurse | 16515 Munn Rd, Chagrin Falls, OH 44023 | 2008-11-21 |
| 1366628398 | University Hospitals Medical Practices Inc | Orthopaedic Surgery | 8185 E Wahington St #1p, Chagrin Falls, OH 44023 | 2008-01-22 |
| 1376754473 | Washington Square Chiropractic Clinic, LLC | Chiropractor | 8551 East Washington St., Chagrin Falls, OH 44023 | 2007-05-24 |
| 1730309006 | Bainbridge Township | Ambulance | 17822 Chillicothe Road, Chagrin Falls, OH 44023 | 2007-04-27 |
| 1215062625 | Mark C Brown | Psychologist | 9781 Whisperwood Circle, Chagrin Falls, OH 44023 | 2007-02-23 |
| 1417096710 | Debra D Arthur | Speech-Language Pathologist | 7160 Chagrin Road, Suite 125, Bainbridge, OH 44023 | 2007-02-05 |
| Find all providers in zip 44023 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427548049 | Safety Controls Technology, Inc | Preventive Medicine | 4503 Brookpark Rd, Parma, OH 44134-1009 | 2018-05-18 |
| 1417464264 | Eric Todd Evenson | Preventive Medicine | 649 Jefferson Ave, Reading, OH 45215-4739 | 2018-01-02 |
| 1528572534 | Occhealth Concepts Inc | Preventive Medicine | 5311 Northfield Rd Ste 308, Bedford Heights, OH 44146-1145 | 2017-11-29 |
| 1720526775 | Elena Page | Preventive Medicine | 5282 Farmridge Way, Mason, OH 45040-3649 | 2017-02-09 |
| 1730585886 | Donna Pratt | Preventive Medicine | 1882 E 32nd St, Lorain, OH 44055-1812 | 2014-11-17 |
| 1700207065 | Buckeye Wellness Consultants LLC | Preventive Medicine | 2040 Brice Rd, Ste 160, Reynoldsburg, OH 43068 | 2014-01-03 |
| 1538594346 | Walter Culton Hulon | Preventive Medicine | 2736 Grandin Rd, Cincinnati, OH 45208-3415 | 2013-09-11 |
| 1750716551 | Richard Robert Hammel | Preventive Medicine | 9912 Hampstead Ct, West Chester, OH 45241-3649 | 2013-09-11 |
| 1851726665 | Cherryl June Christensen | Preventive Medicine | 2 Procter and Gamble Plz, Tn-4 #485, Cincinnati, OH 45202-3315 | 2013-09-11 |
| 1275876641 | Ariff A. Mehter | Preventive Medicine | 805 Central Ave Ste 150, Risk Management,/ehs, Two Centennial Plaza, Cincinnati, OH 45202-5756 | 2013-04-03 |
| Find all providers with the same taxonomy | ||||
| City | CHAGRIN FALLS |
| Zip Code | 44023 |
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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.