NEOGERIATRICS (NPI# 1124259536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124259536 |
Entity Type | Organization |
Organization Name | NEOGERIATRICS |
Other Organization Name | NOVUS HEALTH AND WELLNESS |
Practice Address |
4808 Munson St Nw Canton OH 44718 |
Mailing Address |
4808 Munson St Nw Canton OH 44718-3613 |
Practice Telephone | 3308308666 |
Practice Fax Number | 3308323499 |
Mailing Telephone | 3308308666 |
Mailing Fax Number | 3308323499 |
Enumeration Date | 2009-08-03 |
Last Update Date | 2018-05-22 |
Authorized Official Name | JYOTHI DYAVANAPALLI GUDLA (PRESIDENT) |
Authorized Official Telephone | 3308308666 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
35-083145 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2940956 | 05 |
Other Name | Type Code |
---|---|
NOVUS HEALTH AND WELLNESS | Doing Business As Name - Organization |
Street Address |
4808 MUNSON ST NW |
City | CANTON |
State | OH |
Zip Code | 44718 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194872713 | Jyothi Dyavanapalli Gudla | Internal Medicine | 4808 Munson St Nw, Canton, OH 44718-3613 | 2007-01-04 |
1841654886 | Novus Health and Wellness | Internal Medicine | 4808 Munson St Nw, Canton, OH 44718 | 2016-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
Find all providers in zip 44718 |
Taxonomy Code | 207RG0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Geriatric Medicine |
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841654886 | Novus Health and Wellness | Internal Medicine | 4808 Munson St Nw, Canton, OH 44718 | 2016-04-06 |
1871759795 | Asha Chakka | Internal Medicine | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2008-07-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689298119 | Np Insight | Internal Medicine | 4996 Pigeon Run Rd Sw, Navarre, OH 44662-8123 | 2020-06-01 |
1164082764 | Phoenix Help LLC | Internal Medicine | 7215 Winding Way, Cincinnati, OH 45236-3340 | 2019-06-17 |
1790343846 | Geriatric Care Providers Inc | Internal Medicine | 2605 Greenbrier Ct, Beavercreek, OH 45431-8564 | 2019-06-04 |
1538698568 | David John Donofrio | Internal Medicine | 6427 Stonecrest Dr, Brookpark, OH 44142-3767 | 2017-06-04 |
1346690757 | Detroit 74th Medical Clinic Inc | Internal Medicine | 4805 Lorain Ave, Cleveland, OH 44102-3351 | 2016-06-16 |
1245610179 | Sarah Hyun Hong Min | Internal Medicine | 2355 Norwood Ave Ste 1, Cincinnati, OH 45212-2750 | 2015-06-05 |
1326434127 | Hiba Khan | Internal Medicine | 1950 E 89th Street, Cleveland, OH 44195-1003 | 2015-04-09 |
1184927287 | Range Health Care Services LLC | Internal Medicine | 4875 Union Rd, Franklin, OH 45005-5127 | 2010-12-10 |
1366622623 | Peter Dillard Md Inc | Internal Medicine | 3237 Ormond Rd, Cleveland Heights, OH 44118-3415 | 2007-11-05 |
1427261692 | Preeti Betkerur | Internal Medicine | 75th Arch St, Suite G 2, Akron, OH 44304 | 2007-05-07 |
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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.