NEW HORIZON DERMATOLOGY, INC (NPI# 1285780031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285780031 |
| Entity Type | Organization |
| Organization Name | NEW HORIZON DERMATOLOGY, INC |
| Practice Address |
6693 N Chestnut St Ste 125a Ravenna OH 44266-3900 |
| Practice Telephone | 3302962879 |
| Practice Fax Number | 3302964656 |
| Mailing Telephone | 3302962879 |
| Mailing Fax Number | 3302964656 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | DR. MICHELLE A JAHNKE (OWNER) |
| Authorized Official Telephone | 3302962879 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35-07-30985 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | ANTHEM | 000000352318 | 01 |
| ND | MEDICAL MUTUAL | 292581828002 | 01 |
| Street Address |
6693 N CHESTNUT ST STE 125A |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689646721 | Michelle Alyce Jahnke | Dermatology | 6693 N Chestnut St Ste 125a, Ravenna, OH 44266-3900 | 2006-02-03 |
| 1710935077 | Amber Dawn Blair | Family Medicine | 6693 N Chestnut St Ste 125a, Ravenna, OH 44266-3900 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| 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 |
|---|---|---|---|---|
| 1649887100 | Cheryl Ann Scribben | Specialist | 550 W Hutton Rd, Wooster, OH 44691-8573 | 2020-09-29 |
| 1255948170 | John M Duchak Md Cardiology LLC | Specialist | 1036 Wild Hickory Lane, Centerville, OH 45458 | 2020-09-24 |
| 1710595327 | Katelyn Marie Gurren | Specialist | 5050 Madison Rd # N, Cincinnati, OH 45227-1491 | 2020-07-20 |
| 1497384333 | Robert Rider | Specialist | 2077 Miamisburg Centerville Rd, Dayton, OH 45459-3846 | 2020-04-03 |
| 1669006789 | Brenna Paige Thompson | Specialist | 357 Tipperary Loop, Delaware, OH 43015-1677 | 2020-02-27 |
| 1891327755 | Dejuan Julius Nelson | Specialist | 4937 Mcallister Ave, Columbus, OH 43227-1447 | 2020-02-09 |
| 1104457795 | David B. Beltz | Specialist | 6911 Ravenna Ave Ne, Louisville, OH 44641-4464 | 2020-01-31 |
| 1346870342 | Lori Ann Study | Specialist | 11 S Miami St, West Milton, OH 45383-1810 | 2020-01-19 |
| 1306481676 | Big Heads Barber Salon | Specialist | 6161 Busch Blvd Ste 56, Columbus, OH 43229-2548 | 2019-11-11 |
| 1124662069 | Christle Rose Peter | Specialist | 3450 W Central Ave Ste 126, Toledo, OH 43606-1421 | 2019-11-04 |
| 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.