OM HEALTHCARE LLC (NPI# 1205838067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205838067 |
| Entity Type | Organization |
| Organization Name | OM HEALTHCARE LLC |
| Practice Address |
125 E Broad St Ste 215 Elyria OH 44035 |
| Mailing Address |
125 E Broad St Ste 202 Elyria OH 44035 |
| Practice Telephone | 4403297305 |
| Practice Fax Number | 4403297798 |
| Mailing Telephone | 4403297305 |
| Mailing Fax Number | 4403297798 |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MS. KATHY DARLENE BECKER (OFFICE MANAGER) |
| Authorized Official Telephone | 4403264355 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
========= | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE STE 215 | 09328932 | 01 |
| OH | 2348963 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821657149 | Om Healthcare LLC | Pharmacy | 602 Bandera Rd, San Antonio, TX 78228-5203 | 2019-06-10 |
| 1487180030 | Om Healthcare LLC | Home Health | 1101 Mcmurtrie Dr Nw Ste D4, Huntsville, AL 35806-2470 | 2017-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | OM HEALTHCARE LLC | 600 Boulevard South Sw Suite 104a, Huntsville, AL 35802 |
| Street Address |
125 E BROAD ST STE 215 |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265436729 | Keith Warner | Surgery | 125 E Broad St, Ste 219, Elyria, OH 44035-6447 | 2005-06-11 |
| 1215200811 | Govind K Mehta, M.d., Inc. | Otolaryngology | 125 E Broad St, Suite 322, Elyria, OH 44035-6400 | 2012-02-14 |
| 1275812497 | Prakash Chand | Internal Medicine | 125 E Broad St, Suite 122, Elyria, OH 44035-6400 | 2011-08-04 |
| 1639498751 | North Ohio Heart Inc | Family Medicine | 125 E Broad St, Suite 305, Elyria, OH 44035-6400 | 2010-05-28 |
| 1962737783 | Elyria Internal Medicine, Inc | Internal Medicine | 125 E Broad St, Ste 202, Elyria, OH 44035-6400 | 2009-10-13 |
| 1477748325 | Elyria Obstetrics & Gynecology Inc | Obstetrics & Gynecology | 125 E Broad St, Suite 302, Elyria, OH 44035-6400 | 2007-09-12 |
| 1639384985 | Joanna Kristine Brown | Surgery | 125 E Broad St, Suite 219, Elyria, OH 44035-6400 | 2007-05-11 |
| 1245450881 | Mehdi H Shishehbor | Internal Medicine | 125 E Broad St, Suite 305, Elyria, OH 44035-6400 | 2007-04-26 |
| 1679615249 | Comprehensive Ventures Unlimited Inc | Pharmacy | 125 E Broad St, Suite 109, Elyria, OH 44035-6400 | 2007-02-12 |
| 1891841086 | S D Roy Md Inc | Internal Medicine | 125 E Broad St, Suite #122, Elyria, OH 44035-6400 | 2007-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033200258 | New Health Concepts, Inc. | Clinic/Center | 2106 N Ridge Rd, Elyria, OH 44035-1241 | 2006-09-27 |
| 1295149243 | Xcell Medical Group | Clinic/Center | 710 Leona St, Elyria, OH 44035-2349 | 2014-06-18 |
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| 1740837160 | Bf Empowerment Center LLC | Clinic/Center | 526 S Main St Ste 107, Akron, OH 44311-4401 | 2019-08-20 |
| 1497218077 | Wecare Tlc- Frontpath | Clinic/Center | 1090 W South Boundary St Ste 200, Perrysburg, OH 43551-5278 | 2019-04-10 |
| 1013474857 | Dose Anesthesia | Clinic/Center | 5423 Mahoning Ave Ste G, Austintown, OH 44515-2435 | 2019-02-28 |
| 1962986372 | Shannon Jap Md LLC | Clinic/Center | 5040 Forest Dr Ste 210, New Albany, OH 43054-8166 | 2018-09-20 |
| 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.