MARK ANTHONY NADDAF (NPI# 1124142500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124142500 |
| Entity Type | Individual |
| Full Name | MARK ANTHONY NADDAF |
| Credential | MD |
| Practice Address |
2222 Cherry St Suite 1600 Toledo OH 43608-2673 |
| Mailing Address |
2200 Jefferson Ave 4th Floor Toledo OH 43604 |
| Practice Telephone | 4192514880 |
| Practice Fax Number | 4192517714 |
| Mailing Telephone | 4192512673 |
| Mailing Fax Number | 4192510916 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 4301083864 | MI | Allopathic & Osteopathic Physicians |
| N | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
4301083864 | MI | Allopathic & Osteopathic Physicians |
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
89490 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2743697 | 05 |
| Street Address |
2222 CHERRY ST SUITE 1600 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364679 | Bikram Singh Johar | Internal Medicine | 2222 Cherry St, Ste 1700, Toledo, OH 43608-2681 | 2005-05-23 |
| 1831724897 | Kholoud K. Amrou | Surgery | 2222 Cherry St, Mob 2, Ste 1250, Toledo, OH 43608 | 2020-03-10 |
| 1689022709 | Nicole Lanz | Nurse Practitioner | 2222 Cherry St, M800, Toledo, OH 43608-2673 | 2016-05-31 |
| 1740635077 | Holly Vaculik | Nurse Practitioner | 2222 Cherry St, Suite 1400, Toledo, OH 43608-2673 | 2016-04-23 |
| 1922471036 | Jeremy Lamb | Physician Assistant | 2222 Cherry St, Ste 1800, Toledo, OH 43608-2673 | 2015-11-11 |
| 1114303724 | Koury Leigh Bankowski | Nurse Practitioner | 2222 Cherry St, Suite 1400, Toledo, OH 43608-2673 | 2015-08-05 |
| 1902280134 | Kimberly Vriezelaar | Nurse Practitioner | 2222 Cherry St, Suite M800, Toledo, OH 43608-2673 | 2015-07-17 |
| 1184011371 | Ashley Griggs Kent | Nurse Practitioner | 2222 Cherry St, Suite 1400, Toledo, OH 43608-2673 | 2015-04-25 |
| 1619214228 | Michelle Cleland | Dietitian, Registered | 2222 Cherry St, Suite 2300, Toledo, OH 43608-2673 | 2013-01-16 |
| 1699028316 | Cebie Titgemeyer | Nurse Practitioner | 2222 Cherry St, Suite 1600, Toledo, OH 43608-2673 | 2012-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
| Find all providers in zip 43608 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144365669 | Promedica Central Physicians, LLC | Pediatrics | 2109 Hughes Dr, Suite 860, Toledo, OH 43606-3856 | 2007-02-21 |
| 1730121575 | Sanjoy Banerjee | Pediatrics | 2109 Hughes Dr, Suite 860, Toledo, OH 43606-3856 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689179038 | Simon Lam | Pediatrics | 3333 Burnet Ave # Mlc5016, Cincinnati, OH 45229-3026 | 2018-03-28 |
| 1629368865 | Jessica Nora Barry | Pediatrics | 9500 Euclid Avenue R3, Cleveland Clinic, Cleveland, OH 44195 | 2011-04-08 |
| 1346350212 | Shehzad A Saeed | Pediatrics | 3333 Burnet Ave, Ml 2010, Cincinnati, OH 45229-3026 | 2006-08-30 |
| 1629096342 | Joseph J Palermo | Pediatrics | 3333 Burnet Ave., Ml 2010, Cincinnati Children's Hospital, Cincinnati, OH 45229-3039 | 2006-07-18 |
| 1669402087 | Mike A Leonis | Pediatrics | 9500 Euclid Ave # R3, Cleveland, OH 44195-0001 | 2006-07-03 |
| 1891724530 | Samuel A Kocoshis | Pediatrics | 3333 Burnet Ave Ml 2010, Cincinnati, OH 45229-3026 | 2006-07-03 |
| 1700828464 | Conrad R Cole | Pediatrics | 3333 Burnet Avenue Mlc 2010, Cincinnati Children's Hospital, Cincinnati, OH 45229-3026 | 2006-06-10 |
| 1366401960 | Ibrahim J Haddad | Pediatrics | 7641 Market St Ste 3, Boardman, OH 44512 | 2006-03-22 |
| 1447614508 | Mason Nistel | Pediatrics | 3333 Burnett Avenue, Ml 5018, Cincinnati, OH 45229-3039 | 2016-04-05 |
| 1831551563 | Corie Marie Klepper | Pediatrics | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2016-03-22 |
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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.