TERESA MUSTOVICH (NPI# 1063732949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063732949 |
| Entity Type | Individual |
| Full Name | TERESA MUSTOVICH |
| Credential | CNS |
| Practice Address |
2222 Philadelphia Dr Suite 4505 Dayton OH 45406-1813 |
| Practice Telephone | 9374344363 |
| Practice Fax Number | 9377344181 |
| Mailing Telephone | 9374344363 |
| Mailing Fax Number | 9377344181 |
| Enumeration Date | 2010-06-02 |
| Last Update Date | 2013-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
COA11184NS | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3090346 | 05 |
| Street Address |
2222 PHILADELPHIA DR SUITE 4505 |
| City | DAYTON |
| State | OH |
| Zip Code | 45406-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649266016 | Babar Hasan | Psychiatry & Neurology | 2222 Philadelphia Dr, Suite 4505, Dayton, OH 45406-1813 | 2005-09-21 |
| 1124518295 | Jonathan H Bachna | Pharmacist | 2222 Philadelphia Dr, Dayton, OH 45406-1813 | 2018-05-15 |
| 1174034870 | David Charles Furlong | Nurse Anesthetist, Certified Registered | 2222 Philadelphia Dr, Dayton, OH 45406-1813 | 2017-10-20 |
| 1659896322 | Stephanie Kathryn Hisey | Clinical Nurse Specialist | 2222 Philadelphia Dr, Dayton, OH 45406-1813 | 2017-08-03 |
| 1144740010 | Amanda Rachele Adams | Nurse Practitioner | 2222 Philadelphia Dr, Dayton, OH 45406 | 2017-06-22 |
| 1811422926 | Michele Madurski | Audiologist | 2222 Philadelphia Dr, Dayton, OH 45406-1813 | 2017-04-26 |
| 1205384062 | Vera Arnold | Nurse Practitioner | 2222 Philadelphia Dr, Dayton, OH 45406 | 2016-09-21 |
| 1427501220 | Melanie Elaine Garner | Nurse Practitioner | 2222 Philadelphia Dr, Dayton, OH 45406-1813 | 2016-07-27 |
| 1457713521 | Good Samaritian Hospital | Long Term Care Hospital | 2222 Philadelphia Dr, Dayton, OH 45406-1813 | 2016-03-28 |
| 1316304777 | Whitney Maryruth Knoop | Nurse Practitioner | 2222 Philadelphia Dr, Dayton, OH 45406-1813 | 2016-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942786595 | Lawrence J Harper Jr. | Counselor | 1855 Kipling Dr, Dayton, OH 45406 | 2018-07-17 |
| 1114446937 | James Lee | Licensed Practical Nurse | 1687 Wesleyan Rd., Dayton, OH 45406 | 2017-09-13 |
| 1497280762 | Pam Taylor | Licensed Practical Nurse | 3339 Arlene Ave, Dayton, OH 45406 | 2017-04-25 |
| 1811428543 | Kimberly Hawkins | Licensed Practical Nurse | 3660 Pittsburg Ave, Dayton, OH 45406 | 2017-03-24 |
| 1760839187 | Micah Rejcek | Student in an Organized Health Care Education/Training Program | Five Rivers Family Health Center, 2261 Philadelphia Drive Suite 301, Dayton, OH 45406 | 2016-05-16 |
| 1134505233 | Julia Ahrns | Dietitian, Registered | 2261 Philadelphia Dr., Dayton, OH 45406 | 2015-07-31 |
| 1215314125 | Tracy Fong | Family Medicine | 2261 Philadelphia Drive, Dayton, OH 45406 | 2015-04-29 |
| 1518285337 | Johwanna Martin | Registered Nurse | 2055 Ravenwood Ave, Dayton, OH 45406 | 2010-05-05 |
| 1003051913 | Fawnette Thomas | Social Worker | 2116 University Place, Dayton, OH 45406 | 2008-12-05 |
| 1043478654 | Mvhe Inc | Hospitalist | 2661 Salem Ave Davue Building, Suite 220, Dayton, OH 45406 | 2008-05-30 |
| Find all providers in zip 45406 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063626935 | Cheryl Lynn Rawe | Clinical Nurse Specialist | 414 Amy Ct, Dayton, OH 45415-2101 | 2007-05-10 |
| 1467838896 | Sharon Mechelle Lahm | Clinical Nurse Specialist | 1 Wyoming St, Dayton, OH 45409-2722 | 2015-08-07 |
| 1700274347 | Young Un Kim | Clinical Nurse Specialist | 30 E Apple St, Ste 5254a, Dayton, OH 45409-2939 | 2015-01-06 |
| 1386040061 | Staci Elaine Shields | Clinical Nurse Specialist | 30 E Apple St, Ste 5254a, Dayton, OH 45409-2939 | 2014-11-07 |
| 1285057588 | John Sillman | Clinical Nurse Specialist | 324 Wilmington Ave, Dayton, OH 45420-1890 | 2014-01-23 |
| 1841631629 | Julie Stachler Neff | Clinical Nurse Specialist | 30 E Apple St, Suite 5254a, Dayton, OH 45409-2939 | 2013-07-09 |
| 1588000103 | Cynthia Louise Ballard | Clinical Nurse Specialist | 4100 W 3rd St, Dayton, OH 45428-9000 | 2013-05-22 |
| 1063753150 | Gregory Sanchez | Clinical Nurse Specialist | 1 Wyoming St, Dayton, OH 45409-2722 | 2013-03-14 |
| 1144561903 | Lisa Renee Meiring | Clinical Nurse Specialist | 30 E Apple St Ste 5254a, Dayton, OH 45409-2939 | 2013-03-04 |
| 1235403395 | Sara D Krumlauf | Clinical Nurse Specialist | 1 Wyoming St, Ste. 4490, Dayton, OH 45409-2722 | 2012-03-06 |
| Find all providers in DAYTON | ||||
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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.