ENRIQUE COTES (NPI# 1053509869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053509869 |
| Entity Type | Individual |
| Full Name | ENRIQUE COTES |
| Practice Address |
15644 Madison Ave Suite 218 Lakewood OH 44107-5622 |
| Mailing Address |
20525 Center Ridge Rd Suite 220 Rocky River OH 44116-3437 |
| Practice Telephone | 2162279839 |
| Practice Fax Number | 2162279867 |
| Mailing Telephone | 4408955056 |
| Mailing Fax Number | 4403332935 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2009-10-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
35-061827 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0896900 | 05 |
| Street Address |
15644 MADISON AVE SUITE 218 |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-5622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574156 | West Side Cardiothoracic Surgeons, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 15644 Madison Ave, Suite #202, Lakewood, OH 44107-5622 | 2005-08-09 |
| 1215311931 | Sara Perry | Chiropractor | 15644 Madison Ave, Ste 213, Lakewood, OH 44107-5622 | 2015-07-13 |
| 1770962565 | Royalty Care Services LLC | Hospice Care, Community Based | 15644 Madison Ave, Ste 207, Lakewood, OH 44107-5622 | 2015-05-26 |
| 1205245669 | Donna Rakerd | Social Worker | 15644 Madison Ave, Lakewood, OH 44107-5622 | 2014-08-10 |
| 1104240019 | Premier Physicians Centers, Inc. | Durable Medical Equipment & Medical Supplies | 15644 Madison Ave, Suite 213, Lakewood, OH 44107-5622 | 2014-02-12 |
| 1538334545 | Outreach Professional Services, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 15644 Madison Ave, Suite 202, Lakewood, OH 44107-5622 | 2008-04-30 |
| 1396928883 | Premier Physicians Centers, Inc | Clinical Medical Laboratory | 15644 Madison Ave, Suite 218, Lakewood, OH 44107-5622 | 2007-12-07 |
| 1053591321 | Dr. Mark S. Massie, L.L.C. | Podiatrist | 15644 Madison Ave, Lakewood, OH 44107-5622 | 2007-11-05 |
| 1629149307 | Cynthia Ann Walsh | Social Worker | 15644 Madison Ave, Suite 108, Lakewood, OH 44107-5622 | 2006-11-13 |
| 1992801658 | The Foot and Ankle Clinic LLC | Podiatrist | 15644 Madison Ave, 213, Lakewood, OH 44107-5622 | 2006-09-16 |
| Find all providers in the same location | ||||
| 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 | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942513908 | Adelaide Wilma Koestner | Pathology | 3175 Tremont Rd., #410, Columbus, OH 43221 | 2010-07-20 |
| 1386033561 | Daniel Rhoads | Pathology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2015-01-12 |
| 1720481567 | Mohammed Ismail Alsomali | Pathology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2014-10-08 |
| 1306283338 | Alcinda Flowers | Pathology | 410 W 10th Ave, Columbus, OH 43210 | 2013-05-31 |
| 1538490966 | Osu Pathology Services, LLC | Pathology | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2010-01-25 |
| 1497083828 | Raphael Healthcare, LLC | Pathology | 6631 Commerce Pkwy, Suite Q, Dublin, OH 43017-3239 | 2009-11-23 |
| 1134374002 | Glen Lee Hortin | Pathology | 6700 Steger Dr, Cincinnati, OH 45237-3046 | 2008-11-19 |
| 1851546949 | Thomas M Daly | Pathology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2008-11-18 |
| 1063675882 | Nicole Ann Hubbard | Pathology | 2142 N Cove Blvd, Clm-pathology Lab, Toledo, OH 43606-3895 | 2008-07-02 |
| 1639376536 | Margret Oethinger | Pathology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2007-07-03 |
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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.