MISS AMANDA LEIGH QUISNO (NPI# 1265799217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265799217 |
Entity Type | Individual |
Full Name | MISS AMANDA LEIGH QUISNO |
Credential | D.P.M. |
Practice Address |
1920 Tamarack Rd Newark OH 43055-2303 |
Practice Telephone | 7403448286 |
Mailing Telephone | 4192661280 |
Enumeration Date | 2012-04-16 |
Last Update Date | 2020-02-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
003730 | OH | Podiatric Medicine & Surgery Service Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
393 E Town St Ste 116, Columbus, OH 432154799 | 6145669108 | 6145668737 |
Street Address |
1920 TAMARACK RD |
City | NEWARK |
State | OH |
Zip Code | 43055-2303 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992740088 | Brad Timothy Pfau | Pediatrics | 1920 Tamarack Rd, Newark, OH 43055-2303 | 2006-06-20 |
1336705623 | Foot and Ankle Specialists of Central Ohio LLC | Podiatrist | 1920 Tamarack Rd, Newark, OH 43055-2303 | 2019-05-13 |
1285052878 | Cherreen Tawancy | Podiatrist | 1920 Tamarack Rd, Newark, OH 43055 | 2014-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
Find all providers in zip 43055 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841633542 | Sonia Mvuemba | Podiatrist | 150 Bergen St # G-142, Newark, NJ 07103-2496 | 2013-04-11 |
1922282235 | Stephen R. Pittman, Dpm Pa | Podiatrist | 410 Christiana Medical Ctr, Newark, DE 19702-1654 | 2007-12-21 |
1396835799 | Kenneth L Abram | Podiatrist | 843 N 21st St Ste 107, Newark, OH 43055-2954 | 2006-10-14 |
1275528309 | Jason M. Bell | Podiatrist | 1 Centurian Drive, Suite 101, Newark, DE 19713-2137 | 2005-09-14 |
1285052878 | Cherreen Tawancy | Podiatrist | 1920 Tamarack Rd, Newark, OH 43055 | 2014-04-01 |
1023447844 | New Jersey Podiatric Physicians and Surgeons Group, LLC | Podiatrist | 467 Mount Prospect Ave, Newark, NJ 07104-2907 | 2013-11-02 |
1518268499 | Advanced Foot & Ankle Center Inc. | Podiatrist | 1060 Broad St, Newark, NJ 07102-2397 | 2010-11-09 |
1356582126 | Warren A Chiodo | Podiatrist | 150 Bergen St, G142, Newark, NJ 07103-2496 | 2009-03-09 |
1942421839 | Dr Kenneth Frank | Podiatrist | 111 Mulberry St, Suite 1r, Newark, NJ 07102-4008 | 2007-05-01 |
1023178258 | Delaware Foot & Ankle Group, P.a. | Podiatrist | 2600 Glasgow Ave, Suite 107, Newark, DE 19702-4773 | 2006-12-11 |
Find all providers in NEWARK |
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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.