AGELESS MEN'S HEALTH HOLDINGS, LLC (NPI# 1205314317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205314317 |
| Entity Type | Organization |
| Organization Name | AGELESS MEN'S HEALTH HOLDINGS, LLC |
| Other Organization Name | AGELESS MEN'S HEALTH |
| Practice Address |
27600 Chagrin Blvd Ste 140 Woodmere OH 44122-4498 |
| Practice Telephone | 9017575783 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | MS. MELISSA MCCLELLAN (VP OF BUSINESS OPERATIONS) |
| Authorized Official Telephone | 9017573643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ageless Men's Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1346678729 | Ageless Men's Health Holdings, LLC | Specialist | 326 Saint Paul St, Denver, CO 80206-4335 | 2013-10-23 |
| 1700212602 | Ageless Men's Health Holdings, LLC | Specialist | 1307 Butterfield Rd Ste 420, Downers Grove, IL 60515 | 2013-09-24 |
| 1558800144 | Ageless Men's Health Holdings, LLC | Specialist | 155 E Sonterra Blvd, Suite 101, San Antonio, TX 78258-3987 | 2017-02-16 |
| 1538595434 | Ageless Men's Health Holdings, LLC | Specialist | 111 W Washington St, Suite 901, Chicago, IL 60602-2703 | 2013-09-24 |
| 1053759894 | Ageless Men's Health Holdings, LLC | Specialist | 20403 University Blvd, Suite 200, Sugar Land, TX 77478-4976 | 2013-06-13 |
| Street Address |
27600 CHAGRIN BLVD STE 140 |
| City | WOODMERE |
| State | OH |
| Zip Code | 44122-4498 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134451768 | Louis N Ellis | Social Worker | 27600 Chagrin Blvd Ste 140, Woodmere, OH 44122-4498 | 2010-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447524244 | Marc Parnes D.o., P.C. | Family Medicine | 893 Central Ave, Woodmere, NY 11598-2146 | 2012-02-27 |
| 1376875385 | Joseph Rothstein | Family Medicine | 132 Combs Ave, Woodmere, NY 11598-1431 | 2010-02-02 |
| 1003983321 | Sheryl A Pearl Md PC | Family Medicine | 951 Broadway, Woodmere, NY 11598-1733 | 2006-11-30 |
| 1699301689 | Chris Petrosino | Family Medicine | 11 Franklin Pl, Woodmere, NY 11598-1216 | 2020-03-21 |
| 1568864411 | Ilana Siskind | Family Medicine | 656 Zola St, Woodmere, NY 11598-2808 | 2014-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| 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.