DR. JARED DANIEL BUNEVICH (NPI# 1144489386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144489386 |
Entity Type | Individual |
Full Name | DR. JARED DANIEL BUNEVICH |
Credential | D.O. |
Practice Address |
1932 Niles Cortland Rd Ne Ste B Warren OH 44484-1055 |
Practice Telephone | 3308562520 |
Practice Fax Number | 3308562530 |
Mailing Telephone | 3308562520 |
Mailing Fax Number | 3308562530 |
Enumeration Date | 2008-06-03 |
Last Update Date | 2018-09-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
34010109 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0050016 | 05 | |
OH | MEDICARE PTAN | H009300 | 01 |
Street Address |
1932 NILES CORTLAND RD NE STE B |
City | WARREN |
State | OH |
Zip Code | 44484-1055 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225051279 | Todd Martin Brickman | Otolaryngology | 1932 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 | 2006-07-25 |
1912558107 | Michael Scott Rudd | Nurse Practitioner | 1932 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 | 2019-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
Find all providers in zip 44484 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427479831 | Harmych Facial Plastic Surgery LLC | Otolaryngology | 29225 Chagrin Blvd, Suite 285, Beachwood, OH 44122-4645 | 2014-01-02 |
1730492141 | Rebecca A Schuster | Otolaryngology | 310 W Union St Ste 102, Athens, OH 45701-2312 | 2010-07-15 |
1578769261 | Otolaryngology Head & Neck Consultants, P.C. | Otolaryngology | 6505 Market St Ste A103, Youngstown, OH 44512-3400 | 2007-06-21 |
1275618316 | Richard D Gentile | Otolaryngology | 821 Kentwood Dr Ste C, Youngstown, OH 44512-5061 | 2006-10-26 |
1184722589 | Robert J Smyth | Otolaryngology | 2859 Boudinot Avenue, Suite 302, Cincinnati, OH 45238 | 2006-09-20 |
1841256765 | Kenneth Carroll Parker | Otolaryngology | 36 Mcmillen Dr, Newark, OH 43055-1809 | 2006-04-21 |
1043614589 | Sps18, LLC | Otolaryngology | 725 Buckles Ct N Ste 210, Gahanna, OH 43230-6884 | 2014-10-13 |
1205127024 | Jonathan Karl Frankel | Otolaryngology | 29099 Health Campus Dr, Uh St John Medical Center, Bldg 3, Ste 250, Westlake, OH 44145 | 2011-04-27 |
1144468711 | Daniel E Wade Jr. | Otolaryngology | 1900 23rd St, Cuyahoga Falls, OH 44223-1404 | 2009-02-04 |
1073772422 | Michael Robert Pascolini | Otolaryngology | 8423 Market St, Ste 205, Boardman, OH 44512-6778 | 2008-06-02 |
Find all providers with the same taxonomy |
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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.