MEDICAL CENTER OF NEWARK, L.L.C. (NPI# 1164627733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164627733 |
| Entity Type | Organization |
| Organization Name | MEDICAL CENTER OF NEWARK, L.L.C. |
| Practice Address |
2000 Tamarack Rd Newark OH 43055-1183 |
| Practice Telephone | 7405227800 |
| Practice Fax Number | 7407886002 |
| Mailing Telephone | 7405227800 |
| Mailing Fax Number | 7407886002 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2010-12-03 |
| Authorized Official Name | DAVE SHEPPARD (CFO) |
| Authorized Official Telephone | 7405227821 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2815565 | 05 |
| Street Address |
2000 TAMARACK RD |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619976669 | Ilya G Goldenberg | Internal Medicine | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2005-07-20 |
| 1598204398 | Select Specialty Hospital Zanesville Inc | Hospitalist | 2000 Tamarack Rd, 2nd Floor, Newark, OH 43055-1183 | 2017-02-14 |
| 1619211463 | Irina Sergeevna Petty | Physician Assistant | 2000 Tamarack Rd, Newark, OH 43055 | 2012-11-17 |
| 1437407269 | Mcn Hospitalist Group LLC | Internal Medicine | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2012-08-28 |
| 1821276163 | Meritas Medical, Inc | Internal Medicine | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2008-02-08 |
| 1285783860 | S Anne Miller-cohen | Nurse Anesthetist, Certified Registered | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2007-01-10 |
| 1215093950 | Connie Greene | Nurse Anesthetist, Certified Registered | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2006-12-28 |
| 1154496503 | Licking Memorial Professional Corp. | General Practice | 2000 Tamarack Rd, Newark, OH 43055 | 2006-11-21 |
| 1790854933 | Eun K Choe | Anesthesiology | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2006-11-06 |
| 1154406593 | Betty S. Gebhart | Social Worker | 2000 Tamarack Rd, Newark, OH 43055-1183 | 2006-10-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538605795 | Christiana Care Health System | General Acute Care Hospital | Christiana Care Heart & Vascular Health, 4755 Ogletown-stanton Road, Newark, DE 19718-0001 | 2017-01-12 |
| 1295026334 | University of Medicine and Dentistry of New Jersey | General Acute Care Hospital | 62 Marrow St, Newark, NJ 07103-3131 | 2011-04-24 |
| 1336456201 | Christiana Care Health Services | General Acute Care Hospital | 4755 Stanton Ogletown Rd, Newark, DE 19718-0001 | 2010-09-13 |
| 1912173667 | Christiana Care Health Services | General Acute Care Hospital | 4745 Ogletown Stanton Rd Ste 128, Newark, DE 19713-2082 | 2008-05-02 |
| 1487863668 | Center for Childhood and Neonatal Surgery | General Acute Care Hospital | 90 Bergen St. Suite 7100, Newark, NJ 07103 | 2007-05-22 |
| 1306053483 | University Hospital | General Acute Care Hospital | 150 Bergen St # D106, Newark, NJ 07103-2496 | 2007-05-17 |
| 1578694626 | Christianacarehealthservices | General Acute Care Hospital | 30 Garvey Ln, Newark, DE 19702-6302 | 2007-03-08 |
| 1487790663 | University Psychiatric Associates | General Acute Care Hospital | Upa, 183 South Orange Ave, Newark, NJ 07103 | 2007-01-29 |
| 1083192298 | Christiana Care Health System | General Acute Care Hospital | 4755 Ogletown Stanton Rd Ste 5a43, Newark, DE 19718-2200 | 2018-07-31 |
| 1487181228 | Newark Beth Israel Medical Center | General Acute Care Hospital | 201 Lyons Ave, Department of Emergency Medicine, Newark, NJ 07112-2027 | 2017-05-11 |
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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.