GAVIN WADE EDMONDSON (NPI# 1235669946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235669946 |
| Entity Type | Individual |
| Full Name | GAVIN WADE EDMONDSON |
| Practice Address |
5701 Delhi Rd Cincinnati OH 45233-1669 |
| Practice Telephone | 4782976793 |
| Practice Fax Number | 4782976793 |
| Mailing Telephone | 4782976793 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2017-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
5701 DELHI RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45233-1669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427078559 | Mary Lou Romanello | Specialist | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2006-07-20 |
| 1144784802 | Mary Josephine Soller | Physical Medicine & Rehabilitation | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2019-01-28 |
| 1881160448 | Stephanie Anne Madura | Specialist/Technologist | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2018-10-22 |
| 1245732304 | Michael Ray Huber | Specialist/Technologist | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2018-03-05 |
| 1518488360 | Haley Buschelman | Specialist/Technologist | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2017-07-02 |
| 1558882696 | Anna Marie Thorner | Student in an Organized Health Care Education/Training Program | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2017-06-29 |
| 1174044309 | Benjamin Richard Thieman | Specialist/Technologist | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2017-06-28 |
| 1629529136 | Elizabeth Cox | Specialist/Technologist | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2016-10-19 |
| 1699126508 | Nathan Daniel Clark | Specialist/Technologist | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2016-06-22 |
| 1356791586 | Alexis Renee Amberger | Specialist/Technologist | 5701 Delhi Rd, Cincinnati, OH 45233-1669 | 2016-06-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518488741 | Spencer Robert Kandra | Specialist/Technologist | 5701 Delhi Ave, Cincinnati, OH 45233 | 2017-06-28 |
| 1629598917 | Allison A Bokenkotter | Dietitian, Registered | 900 Arbor Run Drive, Cincinnati, OH 45233 | 2017-06-27 |
| 1336470624 | Raha M Powell | Nurse Practitioner | 494 Neeb Rd., Cincinnati, OH 45233 | 2010-01-26 |
| 1366771610 | Donald J Blaney | Dermatology | 5791 Cleves Warsaw Pike, Cincinnati, OH 45233 | 2009-12-16 |
| 1538376009 | Peter J Tsivitse Jr. | Dentist | 672 Neeb Road, Suite 2, Cincinnati, OH 45233 | 2007-05-16 |
| 1093920712 | Mollie S. Digiacomo | Speech-Language Pathologist | 6325 Rapid Run Rd, Cincinnati, OH 45233 | 2007-05-14 |
| 1861559502 | Kyu Hwan Kim | Family Medicine | 6557 Gracely Drive, Cincinnati, OH 45233 | 2007-01-02 |
| 1275609646 | Peter J Tsivitse Jr Dds & Assoc Inc | Dentist | 672 Neeb Rd, Cincinnati, OH 45233 | 2006-11-28 |
| 1962752816 | Rebecca Ann King | Occupational Therapist | 152 1st Street, Addyston, OH 45233-0464 | 2012-09-18 |
| 1992318877 | Deborah Howell | Home Health Aide | 7411 Gracely Dr Apt 2, Cincinnati, OH 45233-1069 | 2020-08-28 |
| Find all providers in zip 45233 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190546 | Philip Maxwell Wienkamp | Student in an Organized Health Care Education/Training Program | 6194 Oakhaven Dr, Cincinnati, OH 45233-4444 | 2020-10-06 |
| 1407463441 | Amanda Catherine Winner | Student in an Organized Health Care Education/Training Program | 3874 Ivanhoe Ave, Cincinnati, OH 45212-3513 | 2020-09-24 |
| 1649884198 | Lydia Wolferst | Student in an Organized Health Care Education/Training Program | 7892 Pinemeadow Ln, Cincinnati, OH 45224-1226 | 2020-09-02 |
| 1821608761 | Rachel Elizabeth Makoski | Student in an Organized Health Care Education/Training Program | 4856 Forest Meadows Ct, Cincinnati, OH 45244-1275 | 2020-08-05 |
| 1992326961 | Stephanie Rosanna Beasley | Student in an Organized Health Care Education/Training Program | 60 Gambier Cir, Cincinnati, OH 45218-1427 | 2020-04-30 |
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1598385510 | Michael Aduragbemi Fatuyi | Student in an Organized Health Care Education/Training Program | 375 Dixmyth Ave., Good-samaritan Hospital, Cincinnati, OH 45220 | 2020-04-20 |
| 1457980096 | Brian Loring | Student in an Organized Health Care Education/Training Program | 3744 Herbert Ave, Cincinnati, OH 45211-5437 | 2020-04-06 |
| 1831728476 | Allison Rose Hamad | Student in an Organized Health Care Education/Training Program | 231 Sabin Way Ml 0558 Ucmc Department of Surgery, Cincinnati, OH 45267-0001 | 2020-04-06 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45233 |
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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.