KACIANNA HARDSOCK (NPI# 1306460290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306460290 |
| Entity Type | Individual |
| Full Name | KACIANNA HARDSOCK |
| Other Name | KACI HARDSOCK |
| Credential | PA-C |
| Practice Address |
6780 Mayfield Rd Mayfield Heights OH 44124-2203 |
| Mailing Address |
372 Black Gap Rd Fayetteville PA 17222-9734 |
| Practice Telephone | 4403124500 |
| Mailing Telephone | 7174965582 |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2020-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6780 MAYFIELD RD |
| City | MAYFIELD HEIGHTS |
| State | OH |
| Zip Code | 44124-2203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262566 | Eric Michael Bugos | Nurse Practitioner | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2020-07-14 |
| 1568080760 | Kelsie Teaberry | Nurse Practitioner | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2020-07-14 |
| 1619594157 | Tina Louise Augusta Morris | Nurse Practitioner | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2020-07-01 |
| 1033734546 | Claire Konys | Physician Assistant | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2020-06-10 |
| 1053935817 | Marlene Guerrero | Registered Nurse | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2020-06-07 |
| 1457980823 | Brittany Marie Walsh-reed | Pharmacist | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2020-04-07 |
| 1467088716 | Emily Guthe | Music Therapist | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2020-03-19 |
| 1104452572 | Kevin Yu | Physical Therapist | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2020-03-18 |
| 1306471669 | Katherine Leigh Hiner | Nurse Practitioner | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2020-03-06 |
| 1255979746 | Shelby Torre | Nurse Practitioner | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2019-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487884896 | Marina Gritsik Tudico | Physician Assistant | 6780 Mayfield Rd / Hcs1-725, Mayfield Heights, OH 44124 | 2009-07-20 |
| 1598956633 | Jason Eric Dearth | Physician Assistant | 300 Allen Bradley Drive, Mayfield Heights, OH 44124 | 2007-08-05 |
| 1669723391 | Cassidy Blaire Johnson | Physician Assistant | 6780 Mayfield Rd, Mayfield Heights, OH 44124-2203 | 2012-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
| 1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
| 1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
| 1710348701 | Alex Blake | Physician Assistant | 10743 S State Route 133, Blanchester, OH 45107-9435 | 2016-03-17 |
| 1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
| 1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
| 1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
| Find all providers with the same taxonomy | ||||
| City | MAYFIELD HEIGHTS |
| Zip Code | 44124 |
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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.