OHIO NORTH EAST HEALTH SYSTEMS, INC (NPI# 1285103135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285103135 |
| Entity Type | Organization |
| Organization Name | OHIO NORTH EAST HEALTH SYSTEMS, INC |
| Practice Address |
2642 State Route 5 Cortland OH 44410-9393 |
| Mailing Address |
726 Wick Ave Youngstown OH 44505-2827 |
| Practice Telephone | 3308415500 |
| Practice Fax Number | 3308846120 |
| Mailing Telephone | 3307479551 |
| Mailing Fax Number | 3308846120 |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2018-11-21 |
| Authorized Official Name | RONALD DWINNELLS (CEO) |
| Authorized Official Telephone | 3307479551 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Care Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012393 | Ohio North East Health Systems, Inc | Pediatrics | 2642 State Route 5, Cortland, OH 44410-9393 | 2018-11-20 |
| 1477920205 | Ohio North East Health Systems, Inc | Dental Hygienist | 175 E Broad St, Newton Falls, OH 44444-1708 | 2015-08-27 |
| 1942504089 | Ohio North East Health Systems, Inc | Counselor | 1977 Niles Rd Se, Warren, OH 44484-5118 | 2011-01-04 |
| 1033437702 | Ohio North East Health Systems, Inc | Family Medicine | 1977 Niles Rd Se, Warren, OH 44484-5118 | 2010-05-05 |
| 1316935265 | Ohio North East Health Systems, Inc | Counselor | 716 Tod Ave Sw, Warren, OH 44485-3608 | 2005-10-13 |
| Street Address |
2642 STATE ROUTE 5 |
| City | CORTLAND |
| State | OH |
| Zip Code | 44410-9393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376012393 | Ohio North East Health Systems, Inc | Pediatrics | 2642 State Route 5, Cortland, OH 44410-9393 | 2018-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184152654 | Jeremy Taylor | Dentist | 481 S High St, Cortland, OH 44410 | 2017-05-30 |
| 1114454881 | Lauren Whiting | Occupational Therapy Assistant | N High St, Cortland, OH 44410 | 2017-05-12 |
| 1508306887 | Renee Evans | Adult Companion | 2801 Ravine Run, Cortland, OH 44410 | 2017-03-06 |
| 1033405915 | Dennis A Benton | Dentist | 320 Windsor Dr., Cortland, OH 44410 | 2011-06-20 |
| 1508161084 | Deidre L Jones | Registered Nurse | 286 Rosewae Ave, Cortland, OH 44410 | 2011-01-14 |
| 1669602140 | David Alan Brys | Orthopaedic Surgery | 2785 Timbercreek Dr N, Cortland, OH 44410 | 2009-07-20 |
| 1265670442 | Carl E Cook | Dentist | 220 Windsor Drive, Cortland, OH 44410 | 2009-01-27 |
| 1225178767 | Ryan Anthony Barnot | Chiropractor | 3637 State Rt 5, Suite 5, Cortland, OH 44410 | 2007-02-07 |
| 1619013059 | Harvey Jay Feenstra | Chiropractor | 191 S Mecca St, Cortland, OH 44410 | 2007-01-30 |
| 1366507428 | Sandra Kay Martin | Licensed Practical Nurse | 3211 Unit D Woodland Trail, Cortland, OH 44410 | 2006-12-27 |
| Find all providers in zip 44410 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.