MS. COLLEEN ANN PETRO (NPI# 1043493620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043493620 |
Entity Type | Individual |
Full Name | MS. COLLEEN ANN PETRO |
Credential | RN |
Practice Address |
1489 Westwood Ave Lakewood OH 44107-3701 |
Practice Telephone | 2167913800 |
Mailing Telephone | 2167913800 |
Enumeration Date | 2007-12-06 |
Last Update Date | 2007-12-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WC0200X |
Registered Nurse Specialization: Critical Care Medicine |
RN303468 | OH | Nursing Service Providers |
Street Address |
1489 WESTWOOD AVE |
City | LAKEWOOD |
State | OH |
Zip Code | 44107-3701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
Find all providers in zip 44107 |
Taxonomy Code | 163WC0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Critical Care Medicine |
Definition to come... |
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1548753072 | Jismy J Chorath | Registered Nurse | 8945 Gravelly Lake Dr Sw Unit 4, Lakewood, WA 98499-3130 | 2018-06-09 |
1275054025 | Joanne Louise Wilson | Registered Nurse | 453 Van Gordon St Apt 5207, Lakewood, CO 80228-1261 | 2017-07-02 |
1760801914 | Suzanna Miller | Registered Nurse | 11500 W Security Ave, Lakewood, CO 80215-4422 | 2014-04-15 |
1821644436 | Christopher Ruzyla | Registered Nurse | 11315 Bridgeport Way Sw, Lakewood, WA 98499-3004 | 2019-08-11 |
1700390564 | Hanna Renae Guillory | Registered Nurse | 11600 W 2nd Pl, Lakewood, CO 80228-1527 | 2017-11-30 |
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1033716881 | Christina Okazawa | Registered Nurse | 870 Wager St, Columbus, OH 43206-2446 | 2020-10-05 |
1265049209 | Ayat Mustafa Aljawawdeh | Registered Nurse | 5072 Vinington Pl, Dublin, OH 43016-8010 | 2020-09-24 |
1477162709 | Alison Mcnutt Stephan | Registered Nurse | 1164 Garman Rd, Akron, OH 44313-6651 | 2020-07-22 |
1952927824 | Wendell Raymond Link Jr. | Registered Nurse | 4140 Weckerly Rd, Monclova, OH 43542-9498 | 2020-06-17 |
1518595164 | Morris Joe Michles | Registered Nurse | 825 Clinton St, Fremont, OH 43420-2107 | 2020-03-30 |
1598390635 | Jacquelyn M Clark | Registered Nurse | 1228 Walnut St Apt 2, Cincinnati, OH 45202-7135 | 2020-03-09 |
1225669690 | Brandon Lee Mosely | Registered Nurse | 2256 Patricia Dr, Kettering, OH 45420-1038 | 2020-02-03 |
1144876129 | Deborah Rae Difranco | Registered Nurse | 600 N Pickaway St Ste 200, Circleville, OH 43113-1447 | 2019-08-14 |
1578117644 | Michael Davies | Registered Nurse | 9500 Euclid Ave # E11, Cleveland, OH 44195-0001 | 2019-07-28 |
1811455546 | Antoinette D. Gibson | Registered Nurse | 15828 State Route 281, Holgate, OH 43527-9776 | 2019-03-12 |
Find all providers with the same taxonomy |
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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.