LOUIS DEMICCO DO INC. (NPI# 1174948418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174948418 |
| Entity Type | Organization |
| Organization Name | LOUIS DEMICCO DO INC. |
| Practice Address |
263 Mentor Ave Painesville OH 44077-3105 |
| Practice Telephone | 4403545643 |
| Practice Fax Number | 4403545645 |
| Mailing Telephone | 4403545643 |
| Mailing Fax Number | 4403545645 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-05-14 |
| Authorized Official Name | MRS. CINDY LEE PRUZINSKY (CLAIMS PROCESSER) |
| Authorized Official Telephone | 4403545643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 233 | OH | Chiropractic Providers |
| N | 225100000X | Physical Therapist | 012350 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
34006748 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
263 MENTOR AVE |
| City | PAINESVILLE |
| State | OH |
| Zip Code | 44077-3105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700823309 | Thomas Aquinos Hamilton | Physical Therapist | 263 Mentor Ave, Painesville, OH 44077-3105 | 2006-06-01 |
| 1851523807 | Dennis Shcherbakov | Physical Therapist | 263 Mentor Ave, Painesville, OH 44077-3105 | 2009-08-10 |
| 1376789818 | Harry C Walker Dc Dm Inc | Clinic/Center | 263 Mentor Ave, Painesville, OH 44077-3105 | 2009-01-06 |
| 1093754830 | Harry C Walker | Chiropractor | 263 Mentor Ave, Painesville, OH 44077-3105 | 2006-06-06 |
| 1528007564 | Physicians Plus Inc | Rehabilitation Practitioner | 263 Mentor Ave, Painesville, OH 44077-3105 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695594 | Signature Health Inc. Pharmacy | Pharmacy | 54 South Saint Claire, Painesville, OH 44077 | 2020-10-06 |
| 1164053385 | Elaine Marie Nelson | Technician, Other | Cosmetic Laser Inc, 8353 Mentor Ave. Unit 7, Mentor, OH 44077 | 2020-01-27 |
| 1760039309 | Laura Bradford | Occupational Therapy Assistant | 12428 Concord-hambden Road, Concord, OH 44077 | 2019-08-19 |
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1093208662 | Lindsey Elaine Varckette | Physical Therapy Assistant | 60 Wood Street, Painesville, OH 44077 | 2018-06-08 |
| 1083116578 | Brian Mills | Hearing Instrument Specialist | 1920 Mentor Ave, Painesville, OH 44077 | 2018-03-01 |
| 1033610324 | Julia Nicole Chase | Pharmacist | 180 W State Street, Painesville, OH 44077 | 2018-02-22 |
| 1104343631 | Donna Sheahan | Nurse Practitioner | 236 Ardmore Blvd, Painesville, OH 44077 | 2017-08-25 |
| 1417474198 | Jacqueline Owens | Registered Nurse | 7757 Auburn Rd, Ste 6 &7, Concord Twp., OH 44077 | 2017-08-24 |
| 1689197303 | Michelle Claire Pierce | Registered Nurse | 311 W. Walnut Ave., Painesville, OH 44077 | 2017-07-25 |
| Find all providers in zip 44077 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467594986 | Tarulata M Patel | Physical Medicine & Rehabilitation | 50 Normandy Drive Suite #3, Liberty Medical Center, Painesville, OH 44077 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287936 | Novus Pain Management - Ohio LLC | Physical Medicine & Rehabilitation | 100 N Main St Ste 350, Chagrin Falls, OH 44022-2773 | 2019-10-25 |
| 1396218558 | Health Intrinsic Technology LLC | Physical Medicine & Rehabilitation | 41 Brookline Ave, Youngstown, OH 44505-2530 | 2019-01-09 |
| 1760884399 | Patrick T Boylan Md Inc | Physical Medicine & Rehabilitation | 9485 Mentor Ave Ste 203, Mentor, OH 44060-8723 | 2014-09-26 |
| 1750513867 | Comprehensive Pain Management & Electrodiagnostics, LLC | Physical Medicine & Rehabilitation | 80 N Portage Path, #ph7, Akron, OH 44303-1144 | 2009-08-23 |
| 1962654731 | James Edgar Lundeen Sr. | Physical Medicine & Rehabilitation | 26 Sandusky St, Plymouth, OH 44865-1113 | 2008-10-10 |
| 1679777528 | Kush Kumar Goyal | Physical Medicine & Rehabilitation | 1730 W 25th St # 2c, Center for Spine Health- Lutheran Hospital, Cleveland, OH 44113-3108 | 2007-06-13 |
| 1841316163 | University Primary Care Practices Inc | Physical Medicine & Rehabilitation | 50 Blaine Ave Ste 2300, Bedford, OH 44146-2709 | 2007-03-21 |
| 1184766602 | Maheshkumar P. Patel | Physical Medicine & Rehabilitation | 26250 Euclid Avenue, Suite 625, Euclid, OH 44132 | 2007-02-12 |
| 1205985967 | Southwest General Medical Group, Inc | Physical Medicine & Rehabilitation | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2007-01-10 |
| 1619033693 | Narinder N Khosla | Physical Medicine & Rehabilitation | 1006 Grant St, Sandusky, OH 44870-4602 | 2006-12-28 |
| Find all providers with the same taxonomy | ||||
| City | PAINESVILLE |
| Zip Code | 44077 |
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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.