MR. WAYNE S. KNESEBECK (NPI# 1275738551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275738551 |
| Entity Type | Individual |
| Full Name | MR. WAYNE S. KNESEBECK |
| Credential | P.C. |
| Practice Address |
4200 Park Ave 3rd Floor Ashtabula OH 44004-6887 |
| Practice Telephone | 4409922121 |
| Practice Fax Number | 4409925974 |
| Mailing Telephone | 4409922121 |
| Mailing Fax Number | 4409925974 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OHIO LIC C050108 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | GROUP NPI NUMBER | 1851352959 | 01 |
| Street Address |
4200 PARK AVE 3RD FLOOR |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-6887 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841692472 | Jennifer Miller | Licensed Practical Nurse | 4200 Park Ave, Ashtabula, OH 44004-6895 | 2014-09-26 |
| 1033411889 | Michell Mcdiffett | Physician Assistant | 4200 Park Ave, Ashtabula, OH 44004-6895 | 2010-11-30 |
| 1215182845 | Ronald Jon Seigman | Counselor | 4200 Park Ave, 2nd Fl, Ashtabula, OH 44004-6895 | 2008-11-24 |
| 1710153697 | Barbara E Padgett | Social Worker | 4200 Park Ave, Second Floor, Ashtabula, OH 44004-6895 | 2008-05-01 |
| 1255546081 | Janet Phyllis Fowkes | Social Worker | 4200 Park Ave, North Coast Center Floor 2, Ashtabula, OH 44004 | 2007-05-14 |
| 1801016951 | Samar Said El Sayegh | Psychiatry & Neurology | 4200 Park Ave, 2nd Floor The Northcoast Center, Ashtabula, OH 44004 | 2007-04-30 |
| 1346362563 | Melissa Diane Fields | Social Worker | 4200 Park Ave, Ashtabula, OH 44004-6887 | 2007-04-06 |
| 1043340946 | The North Coast Center | Community/Behavioral Health | 4200 Park Ave, The North Coast Center, Ashtabula, OH 44004 | 2007-03-07 |
| 1881739159 | Kathleen C Bobulsky | Social Worker | 4200 Park Ave, Ashtabula, OH 44004-6887 | 2007-02-21 |
| 1215076047 | Deryl Sterling Nazor | Social Worker | 4200 Park Ave, 3rd Floor, Ashtabula, OH 44004-6887 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437154234 | Chandresh S Shah | Specialist | 2420 Lake Ave, Ashtabula, OH 44004-4954 | 2005-06-17 |
| 1568967289 | Octavia Harris | Specialist | 2801 C Ct, Ashtabula, OH 44004-4577 | 2018-03-26 |
| 1629454228 | Kenneth Nicholas Hoopes | Specialist | 416 W 27th St, Ashtabula, OH 44004-4975 | 2015-08-05 |
| 1780060392 | Kasey Lynn Hoopes | Specialist | 416 W 27th St, Ashtabula, OH 44004-4975 | 2015-08-05 |
| 1679991103 | Aloha Hands Bodyworks LLC | Specialist | 615 Lake Ave, Ashtabula, OH 44004-3262 | 2014-04-02 |
| 1649694944 | Lynette Wilden | Specialist | 4200 State Rd, Ashtabula, OH 44004-6017 | 2014-02-07 |
| 1760731426 | Hilda S Jarvis | Specialist | 615 Lake Ave, Ashtabula, OH 44004-3262 | 2012-09-09 |
| 1518105345 | T Matthew Mak Md Inc | Specialist | 2728 Lake Ave, Ashtabula, OH 44004-4960 | 2009-02-02 |
| 1346419066 | State Road Occupational Medical Facility LLC | Specialist | 600 State Rd, Suite 166, Ashtabula, OH 44004-3933 | 2008-02-27 |
| 1295916146 | Wychock Physical Therapy Inc | Specialist | 607 Lake Ave, Ashtabula, OH 44004-3262 | 2007-11-20 |
| Find all providers in ASHTABULA | ||||
Please comment or provide details below to improve the information on MR. WAYNE S. KNESEBECK.
| 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.