JENNIFER R. MIZAK (NPI# 1033208186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033208186 |
| Entity Type | Individual |
| Full Name | JENNIFER R. MIZAK |
| Credential | P.N.P. |
| Practice Address |
15201 Euclid Ave East Cleveland OH 44112-2803 |
| Practice Telephone | 2165415600 |
| Mailing Telephone | 2165415600 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2015-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN173074 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2135373 | 05 |
| Street Address |
15201 EUCLID AVE |
| City | EAST CLEVELAND |
| State | OH |
| Zip Code | 44112-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033142989 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15201 Euclid Ave, East Cleveland, OH 44112-2803 | 2006-07-07 |
| 1629341995 | Belinda Bridges | Nurse Practitioner | 15201 Euclid Ave, East Cleveland, OH 44112-2803 | 2012-02-17 |
| 1912019324 | Valerie T. Coats | Family Medicine | 15201 Euclid Ave, East Cleveland, OH 44112-2803 | 2006-08-31 |
| 1417068776 | Dwight K. Carson | Family Medicine | 15201 Euclid Ave, East Cleveland, OH 44112-2803 | 2006-08-31 |
| 1770594269 | Northeast Ohio Neighborhood Health Services, Inc. | Clinic/Center | 15201 Euclid Ave, East Cleveland, OH 44112-2803 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778402 | Trichelle Latrice Banks | Licensed Practical Nurse | 1400 Lakeview Ed, Cleveland, OH 44112 | 2020-07-27 |
| 1437618048 | Paula Williams Mays | Social Worker | 15998 Henley Road, East Cleveland, OH 44112 | 2019-03-14 |
| 1811403801 | Evelyn Lynette Bailey | Counselor | Jordan Community Residential Center, 2231 North Taylor Rd, Cleveland Heights, OH 44112 | 2017-12-28 |
| 1083140800 | Tashel Miller | Nurse's Aide | 1254 Carlson Rd, Cleveland, OH 44112 | 2017-05-11 |
| 1629518675 | Ebony Stephens | Counselor | 13524 Mann Ave, East Cleveland, OH 44112 | 2017-02-24 |
| 1053861708 | Quality Home Care | Home Health | 1252 E. 134th St, East Cleveland, OH 44112 | 2016-10-06 |
| 1780137463 | Lavinia Pope | Registered Nurse | 885 Eloise Dr, Cleveland Heights, OH 44112 | 2016-07-28 |
| 1891147781 | Mary L Gates | Technician | 16156 Forest Hills Blvd, East Cleveland, OH 44112 | 2016-07-05 |
| 1710332085 | M.a.g Pharmacy | Pharmacy | 18325 Euclid Ave, Cleveland, OH 44112 | 2016-04-25 |
| 1467836791 | Sherri Mcarthur | Registered Nurse | 939 Dresden Rd, Cleveland Heights, OH 44112 | 2015-07-16 |
| Find all providers in zip 44112 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264675 | House Calls for Kids, LLC | Nurse Practitioner | 308 Taft St, Columbus Grove, OH 45830-1122 | 2020-10-28 |
| 1225637150 | Leesha Paulus | Nurse Practitioner | 7984 Windward Trace Cir Nw, Massillon, OH 44646-1176 | 2020-10-21 |
| 1861008948 | Amanda Marie Allmon | Nurse Practitioner | 5669 New Albany Rd W, New Albany, OH 43054-7589 | 2020-09-23 |
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1720640089 | Marybeth Kathleen Hannum | Nurse Practitioner | 6076 Whipple Ave Nw, North Canton, OH 44720-7616 | 2019-07-07 |
| 1558832758 | Kisandra Leigh Sanders | Nurse Practitioner | 3500 Wild Cherry Ave, Celina, OH 45822-2747 | 2018-12-16 |
| 1851869598 | Whitney Stine | Nurse Practitioner | 410 W 10th Ave Fl 7, Columbus, OH 43210-1240 | 2018-11-12 |
| 1194291070 | Helena Horwitz | Nurse Practitioner | 7200 Poe Ave Ste 201, Dayton, OH 45414-2799 | 2018-10-18 |
| Find all providers with the same taxonomy | ||||
| City | EAST CLEVELAND |
| Zip Code | 44112 |
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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.