FADUL HEALTH PARTNERS, PLLC (NPI# 1154782761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154782761 |
| Entity Type | Organization |
| Organization Name | FADUL HEALTH PARTNERS, PLLC |
| Practice Address |
13170 Ravenna Rd Suite 108 Chardon OH 44024-7025 |
| Mailing Address |
125 W Mcdowell Rd Suite A Phoenix AZ 85003-1223 |
| Practice Telephone | 4404097055 |
| Mailing Telephone | 2033509306 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |
| Authorized Official Name | ZAID FADUL (CEO) |
| Authorized Official Telephone | 2033509306 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
13170 RAVENNA RD SUITE 108 |
| City | CHARDON |
| State | OH |
| Zip Code | 44024-7025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003813262 | Abdul Halawa | Internal Medicine | 13170 Ravenna Rd, Suite 206, Chardon, OH 44024-7025 | 2005-07-03 |
| 1376911495 | Geauga Medical Therapy Center LLC | Clinic/Center | 13170 Ravenna Rd, Suite 108, Chardon, OH 44024-7025 | 2015-09-05 |
| 1992052948 | J Jeffery Cameron Md | Specialist | 13170 Ravenna Rd, Suite 116, Chardon, OH 44024-7025 | 2012-08-09 |
| 1649531997 | Vadhya Elivert | Family Medicine | 13170 Ravenna Rd, Suite 108, Chardon, OH 44024-7025 | 2012-06-04 |
| 1447485974 | Dr Natalina Andreani Inc | Specialist | 13170 Ravenna Rd, Chardon, OH 44024-7025 | 2009-05-28 |
| 1750548574 | Michael E. Rom, M.d. Inc | Ophthalmology | 13170 Ravenna Rd, Suite 204, Chardon, OH 44024-7025 | 2008-05-20 |
| 1083884902 | Nandreani Inc | Point of Service | 13170 Ravenna Rd, Suite#116, Chardon, OH 44024-7025 | 2008-03-06 |
| 1891819140 | Prem S. Jawa, Md., Inc | Urology | 13170 Ravenna Rd, Ste 100, Chardon, OH 44024-7025 | 2007-03-19 |
| 1972670107 | Joseph A. Diblasio | Surgery | 13170 Ravenna Rd, Suite 202, Chardon, OH 44024-7025 | 2006-11-30 |
| 1669412755 | Natalina Andreani | Obstetrics & Gynecology | 13170 Ravenna Rd, #116, Chardon, OH 44024-7022 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
| 1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
| 1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
| 1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
| 1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
| 1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
| 1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
| Find all providers in zip 44024 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194815431 | Shahid Butt | Family Medicine | 13207 Ravenna Rd, Chardon, OH 44024-7032 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907051 | Douglas Moinuddin | Family Medicine | 28360 Center Ridge Rd Apt 229, Westlake, OH 44145-6797 | 2020-06-23 |
| 1730726480 | Serenity Now Counseling and Treatment LLC | Family Medicine | 8308 Ohio River Rd Ste B, Wheelersburg, OH 45694-1713 | 2019-12-02 |
| 1689220352 | Hill Clinic, LLC | Family Medicine | 4425 Hill Ave, Toledo, OH 43615-5410 | 2019-08-17 |
| 1821654674 | Roman Family Healthcare | Family Medicine | 1440 State Route 28 W, Greenfield, OH 45123-8424 | 2019-05-17 |
| 1265997118 | Phoenix Integrated Health | Family Medicine | 5945 Sawmill Rd Unit B, Dublin, OH 43017-1623 | 2019-02-05 |
| 1124535828 | Ats, Columbus, LLC Dba, Addiction Therapy Services | Family Medicine | 4760 Sawmill Rd, Columbus, OH 43235-3260 | 2018-01-03 |
| 1326567512 | Far Reach Foundation | Family Medicine | 620 Bear Run Ln Ste B, Lewis Center, OH 43035-8299 | 2017-09-19 |
| 1639691629 | Cornerstone Clinics | Family Medicine | 802 Clare Ave Ste 101, Portsmouth, OH 45662-2583 | 2017-07-11 |
| 1548782816 | Monarch Health and Recovery LLC | Family Medicine | 22664 State Route 73, West Portsmouth, OH 45663-6365 | 2017-07-08 |
| 1275073553 | Phoenix Recovery Center, LLC | Family Medicine | 5945 Sawmill Rd, Dublin, OH 43017-1623 | 2017-03-06 |
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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.