GAGE WIDENER (NPI# 1235761545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235761545 |
| Entity Type | Individual |
| Full Name | GAGE WIDENER |
| Practice Address |
226 E Perkins Ave Sandusky OH 44870-4905 |
| Mailing Address |
1155 Jackson St Vermilion OH 44089-1073 |
| Practice Telephone | 4192392624 |
| Mailing Telephone | 4409841078 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
03438706 | OH | Pharmacy Service Providers |
| Street Address |
226 E PERKINS AVE |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568496362 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2006-07-10 |
| 1629684188 | Emily Rose Chandler | Pharmacist | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2020-09-21 |
| 1184271991 | Lindsay Nicole Austin | Nurse Practitioner | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2019-08-26 |
| 1003462615 | Kelly Marie Parks | Nurse Practitioner | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2019-08-11 |
| 1336700459 | Jessica Lynn Didion | Nurse Practitioner | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2019-06-28 |
| 1518473222 | Richard John Ellis Jr. | Pharmacist | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2017-12-18 |
| 1306351598 | Timothy Charles Andres | Pharmacist | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2017-12-09 |
| 1386164796 | John Christian Myers | Pharmacist | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1386194884 | Max King I | Counselor | 912 Sycamore Line Apt.3d, Sandusky, OH 44870 | 2016-10-07 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
| Find all providers in zip 44870 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684188 | Emily Rose Chandler | Pharmacist | 226 E Perkins Ave, Sandusky, OH 44870-4905 | 2020-09-21 |
| 1497197909 | Rebekah A Dumke | Pharmacist | 1111 Hayes Ave, Sandusky, OH 44870-3323 | 2013-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608561 | Chad Michael Early | Pharmacist | 1001 Cherry St Ste A, Blanchester, OH 45107-1346 | 2020-10-30 |
| 1427657568 | Jason Michael Knippen | Pharmacist | 5400 Cornerstone, Centerville, OH 45440 | 2020-10-20 |
| 1184222564 | Kimberly Downs | Pharmacist | 5400 North Cornerstone Blvd, Centerville, OH 45440 | 2020-10-16 |
| 1023625613 | Andrea Haney | Pharmacist | 2449 Ross Millville Rd Ste 185, Hamilton, OH 45013-8955 | 2020-09-28 |
| 1881205433 | Jacob Thomas Hoferer | Pharmacist | 120 E Freedom Way Unit 410, Cincinnati, OH 45202-3453 | 2020-08-16 |
| 1871118422 | Lisa Clegg | Pharmacist | 15245 Palmyra Rd, Diamond, OH 44412-9618 | 2020-06-09 |
| 1811510639 | Maegan Nichole Klosterman | Pharmacist | 14242 Providence Pike, Brookville, OH 45309-9709 | 2020-05-27 |
| 1336768720 | Rachael Yim | Pharmacist | 9500 Euclid Ave # Hb-110, Cleveland, OH 44195-0001 | 2020-04-15 |
| 1174150742 | Kelli Holden | Pharmacist | 4530 Eastgate Blvd Ste 500, Cincinnati, OH 45245-1256 | 2020-03-24 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| 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.