THEODORE DOUGLAS CHROBAK (NPI# 1245218478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245218478 |
| Entity Type | Individual |
| Full Name | THEODORE DOUGLAS CHROBAK |
| Credential | DO |
| Practice Address |
332 W 6th St East Liverpool OH 43920-2812 |
| Mailing Address |
Po Box 856 East Liverpool OH 43920-5856 |
| Practice Telephone | 3303866339 |
| Practice Fax Number | 3303861224 |
| Mailing Telephone | 3303866339 |
| Mailing Fax Number | 3303861224 |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2008-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 05008296L | PA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 34006156C | OH | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
05008296L | PA | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
34006156C | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | 080192335 | 01 | |
| OH | 2080555 | 05 |
| Street Address |
332 W 6TH ST |
| City | EAST LIVERPOOL |
| State | OH |
| Zip Code | 43920-2812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619123700 | Ankle and Foot Care Centers | Podiatrist | 332 W 6th St, East Liverpool, OH 43920-2812 | 2008-08-08 |
| 1912047440 | Vantage Healthcare Network | Clinic/Center | 332 W 6th St, East Liverpool, OH 43920-2812 | 2007-02-07 |
| 1700958824 | Judith Barbara Nozling | Counselor | 332 W 6th St, East Liverpool, OH 43920-2812 | 2006-11-14 |
| 1609963552 | Department of Veterans Affairs | Public Health or Welfare | 332 W 6th St, East Liverpool, OH 43920-2812 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992321228 | Mary Matta | Podiatrist | 425 West Fith Street, East Liverpool, OH 43920 | 2020-06-23 |
| 1538795893 | Kaley M Davis | Occupational Therapist | 15655 Oh-170, East Liverpool, OH 43920 | 2020-03-19 |
| 1851890842 | Psycare Inc | Community/Behavioral Health | 15303 State Rout 170, East Liverpool, OH 43920 | 2018-02-06 |
| 1447760004 | Sarah Eileen Malcomson | Nurse Practitioner | 304 W 5th St, East Liverpool, OH 43920 | 2017-10-09 |
| 1427411438 | Help Hotline Crisis Center, Inc. | Community/Behavioral Health | 509 Market Street, East Liverpool, OH 43920 | 2016-03-29 |
| 1467848960 | Lorraine Barnard | Physical Therapy Assistant | 500 Self Ridge Street, Nentwick Convalescent Home, East Liverpool, OH 43920 | 2015-04-10 |
| 1891129441 | Jamie Jo Boyle | Nurse Practitioner | 425 West 5th Street, East Liverpool, OH 43920 | 2013-08-29 |
| 1275872038 | Tri-state Pediatric Associates, Inc | Pediatrics | 15700 State Street, Route 170, Calcutta, OH 43920 | 2013-02-13 |
| 1083953798 | Jill C Hendrickson | Psychologist | 416 Jackson Street, East Liverpool, OH 43920 | 2013-02-01 |
| 1104163468 | Laura Jane Plum | Occupational Therapy Assistant | 15675 Maple Drive, East Liverpool, OH 43920 | 2013-01-07 |
| Find all providers in zip 43920 | ||||
| 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 |
|---|---|---|---|---|
| 1760502074 | East Liverpool Family Practice, Ltd. | Family Medicine | 16494 Saint Clair Ave, Suite A, East Liverpool, OH 43920-9400 | 2007-03-30 |
| 1609892470 | Marcela Purtell | Family Medicine | 48462 Bell School Rd, East Liverpool, OH 43920-9625 | 2006-07-14 |
| 1831153006 | Tae H Jung | Family Medicine | 15424 Sprucevale Rd, East Liverpool, OH 43920-9200 | 2006-04-14 |
| 1114904091 | Chrobak LLC | Family Medicine | 332 W Sixth St, East Liverpool, OH 43920-2812 | 2005-12-30 |
| 1023090834 | Dharam Bir Batish | Family Medicine | 1100 Pennsylvania Ave, East Liverpool, OH 43920-3539 | 2005-11-17 |
| 1447871140 | Michael Graves | Family Medicine | 425 W 5th St, East Liverpool, OH 43920-2405 | 2020-05-04 |
| 1457995615 | Michael James Toth | Family Medicine | 425 W 5th St, East Liverpool, OH 43920-2498 | 2019-10-31 |
| 1801451315 | Teja Srinivas Niruogi | Family Medicine | 425 W 5th St, East Liverpool, OH 43920-2405 | 2019-05-09 |
| 1588010649 | Derek Christopher Harshaw | Family Medicine | 425 W 5th St, East Liverpool, OH 43920 | 2016-05-09 |
| 1932587581 | Lester H Hill II Do LLC | Family Medicine | 16494 Saint Clair Ave, East Liverpool, OH 43920-9142 | 2015-05-15 |
| Find all providers in EAST LIVERPOOL | ||||
| City | EAST LIVERPOOL |
| Zip Code | 43920 |
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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.