EILEEN M O'MALLEY (NPI# 1104889062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104889062 |
| Entity Type | Individual |
| Full Name | EILEEN M O'MALLEY |
| Other Name | EILEEN M OMALLEY |
| Credential | PA-C |
| Practice Address |
24723 Detroit Rd Westlake OH 44145-2526 |
| Practice Telephone | 4406177027 |
| Practice Fax Number | 4408929083 |
| Mailing Telephone | 4406177027 |
| Mailing Fax Number | 4408929083 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50-000660 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50000660 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000325952 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598082653 | Eileen O'malley | Licensed Practical Nurse | 4635 Hillside Rd, Egg Harbor, WI 54209-8910 | 2010-04-29 |
| Street Address |
24723 DETROIT RD |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912978131 | Orthopaedic Associates, Inc | Orthopaedic Surgery | 24723 Detroit Rd, Westlake, OH 44145-2526 | 2006-01-27 |
| 1558901314 | Pablo Cabezon | Physical Medicine & Rehabilitation | 24723 Detroit Rd, Westlake, OH 44145-2526 | 2020-01-09 |
| 1568881332 | Steven Cotman | Orthopaedic Surgery | 24723 Detroit Rd, Westlake, OH 44145-2526 | 2014-04-09 |
| 1598922718 | Novacare Rehabilitation of Ohio Inc | Clinic/Center | 24723 Detroit Rd, Westlake, OH 44145-2526 | 2008-05-16 |
| 1457521494 | Joseph Michael Lowry | Orthopaedic Surgery | 24723 Detroit Rd, Westlake, OH 44145-2526 | 2008-03-05 |
| 1790974350 | Jesse Ellis Templeton | Orthopaedic Surgery | 24723 Detroit Rd, Westlake, OH 44145-2526 | 2007-10-19 |
| 1811184690 | Troy A Kennedy | Occupational Therapist | 24723 Detroit Rd, Westlake, OH 44145-2526 | 2007-09-26 |
| 1477751972 | Kara Morgan | Physical Therapist | 24723 Detroit Rd, Westlake, OH 44145-2526 | 2007-07-05 |
| 1134338395 | Gregory Hayba | Physician Assistant | 24723 Detroit Rd, Westlake, OH 44145-2526 | 2007-05-22 |
| 1194737866 | Marcia E Vargo | Occupational Therapist | 24723 Detroit Rd, Westlake, OH 44145-2526 | 2006-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922638139 | Jang Nga Zeng | Physician Assistant | 5980 Kingfisher Blvd, Westlake, FL 33470 | 2020-01-16 |
| 1710400882 | Ioana Alexandra Blidaru | Physician Assistant | 2857 N Bay Dr, Westlake, OH 44145-4497 | 2017-07-20 |
| 1518105519 | Geriatric Physician Assistants LLC | Physician Assistant | 842 Corporate Way, Suite 850, Westlake, OH 44145-1537 | 2009-01-29 |
| 1073577664 | Valerie A Dailey | Physician Assistant | 26908 Detroit Rd Ste 103, Westlake, OH 44145-2399 | 2006-04-12 |
| 1033196571 | Tina R Ellison | Physician Assistant | 29000 Center Ridge Road, Westlake, OH 44145 | 2005-12-27 |
| 1063079986 | Krista Miller | Physician Assistant | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2019-05-27 |
| 1457840555 | Ryan A Milks | Physician Assistant | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2018-05-03 |
| 1336662816 | Katherine Sweet | Physician Assistant | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2017-07-17 |
| 1871045294 | Bethany Coyne | Physician Assistant | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2016-11-02 |
| 1558812750 | Candice Barrington | Physician Assistant | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2016-10-23 |
| Find all providers in WESTLAKE | ||||
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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.