JACQUELINE M TULODZIESKI-AHLSTROM (NPI# 1295021822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295021822 |
| Entity Type | Individual |
| Full Name | JACQUELINE M TULODZIESKI-AHLSTROM |
| Credential | D.P.M. |
| Practice Address |
141 N Forge St Akron OH 44304-1407 |
| Mailing Address |
4996 Massillon Rd North Canton OH 44720-1412 |
| Practice Telephone | 3303753000 |
| Mailing Telephone | 3305929081 |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
363690 | OH | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0101948 | 05 |
| Street Address |
141 N FORGE ST |
| City | AKRON |
| State | OH |
| Zip Code | 44304-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898665 | Harmeet Kaur Banipal | Registered Nurse | 141 N Forge St, Akron, OH 44304-1407 | 2020-10-14 |
| 1154928307 | Nicole Fazio | Nurse Practitioner | 141 N Forge St, Summa Health, Akron, OH 44304-4430 | 2020-10-01 |
| 1679188163 | Nastassia Danyielle Davis | Nurse Practitioner | 141 N Forge St, Akron, OH 44304-1407 | 2020-09-10 |
| 1962011742 | Melissa Smith | Nurse Practitioner | 141 N Forge St, Akron, OH 44304-1407 | 2020-07-28 |
| 1609494939 | Ralph Isaac Testa | Nurse Anesthetist, Certified Registered | 141 N Forge St, Akron, OH 44304-1407 | 2020-07-13 |
| 1932727237 | Zachary Joseph Emrock | Nurse Anesthetist, Certified Registered | 141 N Forge St, Akron, OH 44304-1407 | 2020-07-13 |
| 1710501135 | Joshua Horner | Nurse Anesthetist, Certified Registered | 141 N Forge St, Akron, OH 44304-1407 | 2020-06-01 |
| 1750912424 | Marie Horner | Registered Nurse | 141 N Forge St, Akron, OH 44304-1407 | 2020-01-30 |
| 1801436241 | Kendra Lee Paxton | Nurse Practitioner | 141 N Forge St, Akron, OH 44304-1407 | 2020-01-14 |
| 1386283083 | Kaitlyn Varian | Physician Assistant | 141 N Forge St, Akron, OH 44304-1407 | 2019-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
| 1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
| 1871121889 | Haley Marie Coleman | Student in an Organized Health Care Education/Training Program | Summa Health/ Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-03-27 |
| 1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
| 1457918328 | Brandy Deem | Counselor | 87 N Forge St, Akron, OH 44304 | 2019-05-24 |
| 1184187445 | Zoe Nastasic Jones | Student in an Organized Health Care Education/Training Program | Summa Health 525 East Market St., Akron, OH 44304 | 2019-04-12 |
| 1780147751 | Nidhi Khullar | Student in an Organized Health Care Education/Training Program | Summa Health Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2019-04-08 |
| Find all providers in zip 44304 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760809990 | Louis Grandinetti | Podiatrist | 3333 Massillon Rd Ste 203, Akron, OH 44312-5992 | 2014-03-26 |
| 1386753887 | Sherrie S Wallace | Podiatrist | 1485 S Hawkins Ave, Suite 159, Akron, OH 44320-3473 | 2006-08-29 |
| 1619915410 | W.joseph Schoeppner | Podiatrist | 3333 Massillon Rd, Suite 203, Akron, OH 44312-5981 | 2006-06-03 |
| 1114915931 | Reed B Graham | Podiatrist | 696 Canton Rd Ste 1, Akron, OH 44312-2632 | 2005-10-06 |
| 1538156062 | Jeremy Franklin Davis | Podiatrist | 335 E Waterloo Rd, Akron, OH 44319-1218 | 2005-09-30 |
| 1952707226 | Ohio Podiatric Physician and Surgeons Group, LLC | Podiatrist | 335 E Waterloo Rd, Akron, OH 44319-1218 | 2014-11-13 |
| 1013349752 | Foot Health and Wellness, LLC | Podiatrist | 2717 S Arlington Rd, Suite G, Akron, OH 44312-4725 | 2013-08-05 |
| 1164713541 | Lauren Lindsay Kishman | Podiatrist | 224 W Exchange St, #440, Akron, OH 44302-1704 | 2011-04-20 |
| 1942464359 | Kimberly S. Kemper, Dpm, Inc | Podiatrist | 2766 S Arlington Rd, Akron, OH 44312-4742 | 2008-07-15 |
| 1306009535 | Dr. Gary J Volfre, Dpm | Podiatrist | 2040 E Market St, Akron, OH 44312-1100 | 2008-07-08 |
| Find all providers in AKRON | ||||
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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.