DR. MUHANNAD KASSAWAT (NPI# 1023266533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023266533 |
| Entity Type | Individual |
| Full Name | DR. MUHANNAD KASSAWAT |
| Credential | MD |
| Practice Address |
11369 Market St North Lima OH 44452-9782 |
| Mailing Address |
7020 Indian Trl Poland OH 44514-2038 |
| Practice Telephone | 3309659999 |
| Practice Fax Number | 3307570000 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
ME105224 | FL | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
35.092211 | OH | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
S2364 | TX | Allopathic & Osteopathic Physicians |
| N | 2083A0300X | S2364 | TX |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2903086 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7020 Indian Trl, Poland, OH 445142038 | 3305506400 | |
| 1947 E Market St, Warren, OH 444836644 | 3309659999 | 3307570000 |
| 3657 Mahoning Ave, Youngstown, OH 445153018 | 3309659999 | 3307570000 |
| Street Address |
11369 MARKET ST |
| City | NORTH LIMA |
| State | OH |
| Zip Code | 44452-9782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487112223 | Lauren M Miller | Registered Nurse | 11369 Market St, North Lima, OH 44452-9782 | 2019-03-12 |
| 1700363819 | Amanda Winkler | Social Worker | 11369 Market St, North Lima, OH 44452-9782 | 2018-07-20 |
| 1225492267 | Vanessa Vince - Deniro | Counselor | 11369 Market St, North Lima, OH 44452-9782 | 2016-04-06 |
| 1336502939 | James Baluck | Social Worker | 11369 Market St, North Lima, OH 44452-9782 | 2016-03-31 |
| 1760861249 | Serenity Center of Youngstown, LLC | Psychiatry & Neurology | 11369 Market St, North Lima, OH 44452-9782 | 2015-05-29 |
| 1841543246 | Sarah N Blasiman | Counselor | 11369 Market St, North Lima, OH 44452-9782 | 2012-10-23 |
| 1356591275 | Lauren Amanda Carsten | Counselor | 11369 Market St, North Lima, OH 44452-9782 | 2008-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689112666 | Joe Santell | Behavior Technician | 238 South Meridan Rd, Youngstown, OH 44452 | 2017-02-09 |
| 1568694362 | Jenifer Lynn Razo | Licensed Practical Nurse | 450 Spring Acres Lane, North Lima, OH 44452 | 2009-08-13 |
| 1962624007 | North Lima Senior Living, LLC | Assisted Living Facility | 9661 Market Street, North Lima, OH 44452 | 2007-05-02 |
| 1932248523 | Steven W Croston | Emergency Medicine | 9471 Market St Ste B, North Lima, OH 44452 | 2007-02-06 |
| 1194812362 | Assumption Village | Skilled Nursing Facility | 9800 Market St, North Lima, OH 44452 | 2006-10-06 |
| 1841306776 | Physicians Dialysis Company, Inc. | Clinic/Center | 9174 Market Street, North Lima, OH 44452 | 2006-08-22 |
| 1740202662 | Frank Petrakos | Dentist | 11695 Market Street, North Lima, OH 44452 | 2006-07-24 |
| 1194722025 | Joseph John Francisco Jr. | Podiatrist | 9471 Market St Ste A, North Lima, OH 44452 | 2005-07-07 |
| 1689152746 | Mercy Health Physicians Youngstown LLC | Durable Medical Equipment & Medical Supplies | 9471 Market St Ste A, North Lima, OH 44452 | 2018-08-01 |
| 1568738193 | Joseph James Rousher | Family Medicine | 9471 Market St Ste A, North Lima, OH 44452 | 2012-03-28 |
| Find all providers in zip 44452 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807680 | Mitef Enterprise Inc | Psychiatry & Neurology | 90 Brittony Woods Dr, Monroe, OH 45050-2204 | 2020-10-06 |
| 1366060717 | Pelt Clinic for Addiction and Mental Health Recovery | Psychiatry & Neurology | 134 Northwoods Blvd Ste B1, Columbus, OH 43235-4727 | 2020-07-13 |
| 1760839096 | Eden Counseling Centers LLC Addiction Recovery | Psychiatry & Neurology | 8794 Big Bear Avenue, Powell, OH 43065-9113 | 2016-05-17 |
| 1043607500 | Scott Gspandl | Psychiatry & Neurology | 5141 W Broad St Ste 115, Columbus, OH 43228-1992 | 2015-04-22 |
| 1871803767 | Dominic Gomes Md Inc | Psychiatry & Neurology | 1701 Allen Dr, Westlake, OH 44145-2508 | 2010-10-14 |
| 1205077336 | Lurley J. Archambeau Md | Psychiatry & Neurology | 6450 Weatherfield Ct., Ste. 1b, Maumee, OH 43537-8919 | 2009-03-19 |
| 1508948126 | Abdelrhman A Soliman | Psychiatry & Neurology | 8833 Chapelsquare Ln, Cincinnati, OH 45249-4705 | 2006-10-20 |
| 1437157294 | Richard Whitney | Psychiatry & Neurology | 200 Messimer Dr, Newark, OH 43055-3627 | 2005-07-14 |
| 1861054744 | Savida Agency, Inc. | Psychiatry & Neurology | 4421 Roosevelt Blvd Ste A, Middletown, OH 45044-9024 | 2019-07-01 |
| 1710445663 | Global Wellness Center LLC | Psychiatry & Neurology | 3350 Cleveland Ave Ste 1964, Columbus, OH 43224-3677 | 2019-03-11 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LIMA |
| Zip Code | 44452 |
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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.