MR. JONATHAN HEIFETZ (NPI# 1144742008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144742008 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN HEIFETZ |
| Credential | CPO |
| Practice Address |
2120 S Green Rd Ste 101 South Euclid OH 44121-3317 |
| Practice Telephone | (216) 371-0660 |
| Mailing Telephone | 2163710660 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | LPO.00220 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | LPO.00220 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2120 S GREEN RD STE 101 |
| City | SOUTH EUCLID |
| State | OH |
| Zip Code | 44121-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396213443 | Khrystyne Hill | Home Health Aide | 1396 Villa Dr, South Euclid, OH 44121 | 2018-11-07 |
| 1700369329 | An Angels Touch | Case Manager/Care Coordinator | 4673 Liberty Road, South Euclid, OH 44121 | 2018-09-10 |
| 1336654169 | Dawn Marniece Burns | Counselor | 2490 Noble Rd Ste 101, Cleveland Heights, OH 44121 | 2017-12-01 |
| 1154830610 | Kamry Wilson | Massage Therapist | 1915 Temblethurst Rd, South Euclid, OH 44121 | 2017-09-27 |
| 1891210027 | Tyrone Sykes | Counselor | 2940 Noble Rd, Cleveland Hts, OH 44121 | 2017-08-09 |
| 1083140412 | Cortney Casey | Licensed Practical Nurse | 3430 Monticello Blvd, Cleveland Heights, OH 44121 | 2017-05-04 |
| 1821523374 | Sharmila Noles | Licensed Practical Nurse | 818 South Green Rd, 5, South Euclid, OH 44121 | 2017-04-21 |
| 1679018725 | Safe Haven Residential Services | In Home Supportive Care | 2515 Belvoir Rd, Cleveland, OH 44121 | 2016-12-28 |
| 1447702154 | Jerry C Mallory Jr. | Military Health Care Provider | 4018 Bayard 44121, Apo, AA 44121 | 2016-10-28 |
| 1215388129 | Rose-mary, The Johanna Grasselli Rehabilitation and Education Center | Intermediate Care Facility, Mentally Retarded | 4383 Ammon Road, South Euclid, OH 44121 | 2016-06-22 |
| Find all providers in zip 44121 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649427 | Brooke Iames | Prosthetist | 2182 W 38th St Uppr, Cleveland, OH 44113-3833 | 2020-11-04 |
| 1871131763 | Briesha Janee' Ramer | Prosthetist | 612 S Arlington St, Akron, OH 44306-2016 | 2019-12-11 |
| 1114485968 | Julia Maurie Ford | Prosthetist | 101 S Yearling Rd, Whitehall, OH 43213-1827 | 2019-03-11 |
| 1174002133 | Jacqueline Bailey | Prosthetist | 2149 Stumbo Rd, Mansfield, OH 44906-1265 | 2018-08-10 |
| 1740779503 | Christina Lynn Cross | Prosthetist | 9221 Darrow Rd, Twinsburg, OH 44087-1823 | 2018-05-08 |
| 1730613365 | Amber Dowell | Prosthetist | 630 E Woodrow Ave, Apt. D, Columbus, OH 43207-2059 | 2017-04-20 |
| 1467983643 | Dytanya Allgood | Prosthetist | 212 Gates Ave, Elyria, OH 44035-7023 | 2017-03-21 |
| 1700189917 | Zachary Weber | Prosthetist | 4444 Keystone Dr Ste F, Maumee, OH 43537-8796 | 2010-12-09 |
| 1174793517 | Karl Patrick Burk | Prosthetist | 1840 W Main St, Troy, OH 45373-2304 | 2008-02-29 |
| 1801083324 | Robert Douglas Hoskins | Prosthetist | 343 Smith Dr, Clayton, OH 45315-8705 | 2007-09-28 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH EUCLID |
| Zip Code | 44121 |
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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.