MARYMOUNT PRIMARY CARE SERVICES, INC (NPI# 1326230764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326230764 |
| Entity Type | Organization |
| Organization Name | MARYMOUNT PRIMARY CARE SERVICES, INC |
| Practice Address |
34501 Aurora Rd Suite 101 Solon OH 44139-3873 |
| Practice Telephone | 4409140960 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2008-05-27 |
| Authorized Official Name | PETER P WALCHANOWICZ (PRACTICE MANAGER) |
| Authorized Official Telephone | 4405438855 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2088940 | 05 | |
| OH | ANTHEM | 000000564024 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639361074 | Marymount Primary Care Services, Inc | Obstetrics & Gynecology | 12000 Mccracken Rd, Suite 450, Garfield Heights, OH 44125-2964 | 2007-08-09 |
| 1326265000 | Marymount Primary Care Services, Inc | Durable Medical Equipment & Medical Supplies | 4400 Rockside Rd, Suite 2100, Independence, OH 44131-2109 | 2007-04-20 |
| 1023089653 | Marymount Primary Care Services, Inc | Psychiatry & Neurology | 17747 Chillicothe Rd, Suite 100, Chagrin Falls, OH 44023-4739 | 2006-01-31 |
| Street Address |
34501 AURORA RD SUITE 101 |
| City | SOLON |
| State | OH |
| Zip Code | 44139-3873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880275 | Joel Marc Salon | Dentist | 34501 Aurora Rd, Ste 301, Solon, OH 44139-3831 | 2005-06-13 |
| 1619321734 | Jacqueline M. Beard, Dmd, Inc | Clinic/Center | 34501 Aurora Rd, Suite 305, Solon, OH 44139-3873 | 2016-04-14 |
| 1952714008 | Kelsey Heather Gross | Dentist | 34501 Aurora Rd, Suite 303, Solon, OH 44139-3873 | 2014-06-06 |
| 1861816738 | Paul Turowski Do, LLC | Internal Medicine | 34501 Aurora Rd, Suite 205, Solon, OH 44139-3873 | 2014-02-12 |
| 1831532514 | Solon Anesthesia, LLC | Anesthesiology | 34501 Aurora Rd, Suite 306, Solon, OH 44139-3873 | 2013-04-11 |
| 1013109719 | J. Jin El-mallawany, Md | Psychiatry & Neurology | 34501 Aurora Rd, Ste 101, Solon, OH 44139-3873 | 2007-08-16 |
| 1306061981 | Richard Wilson Gregory | Dentist | 34501 Aurora Rd, Suite 302, Solon, OH 44139-3873 | 2007-04-17 |
| 1891813887 | Glenn C Goodrich Dds Ms Inc | Dentist | 34501 Aurora Rd, Ste 305, Solon, OH 44139 | 2007-03-27 |
| 1104942333 | Patrick David Poland | Dentist | 34501 Aurora Rd, Suite 302, Solon, OH 44139-3873 | 2007-03-21 |
| 1780753004 | John Rees Aughenbaugh | Dentist | 34501 Aurora Rd, #208, Solon, OH 44139 | 2006-11-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749308 | Leela R Nair | Technician | 32627 Springside Lane, Solon, OH 44139 | 2020-10-29 |
| 1992322556 | Khetam Mohammed Abed | Nurse Practitioner | 30575 Brainbridge Road, Suite 200, Solon, OH 44139 | 2020-06-30 |
| 1841756194 | The Dental Office of Solon Jonathan J Klineman | Dentist | 6175 Som Center Road #235, Solon, OH 44139 | 2019-02-12 |
| 1942736038 | Rada Duplik | Pharmacist | 32565 Stonybrook Lane, Solon, OH 44139 | 2017-05-10 |
| 1831631761 | Deborah Lahey | Speech-Language Pathologist | 5955 Buckboard Lane, Solon, OH 44139 | 2016-11-09 |
| 1558719815 | Center for Stroke and Hand Recovery | Clinic/Center | 32901 Station St., Suite 102, Solon, OH 44139 | 2016-05-27 |
| 1639542079 | Sonya Movassaghi | Dentist | 34194 Aurora Rd, #166, Solon, OH 44139 | 2015-11-06 |
| 1548648017 | Richard A. Marvin | Social Worker | 7196 Som Center Rd., Our Redeemer Lutheran Church, Solon, OH 44139 | 2015-05-15 |
| 1285057125 | Rachel Heflen | Social Worker | 33595 Bainbridge Rd Ste 101, Solon, OH 44139 | 2014-01-29 |
| 1134426398 | Justin J Crivelli | Internal Medicine | 30575 Bainbridge Rd, Solon, OH 44139 | 2011-02-23 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770602955 | University Primary Care Practices | Obstetrics & Gynecology | 34501 Aurora Rd Ste 205, Solon, OH 44139-3831 | 2007-03-28 |
| 1326314493 | Alexis Camille Scaparotti | Obstetrics & Gynecology | 29800 Bainbridge Rd, Solon, OH 44139-2202 | 2012-03-22 |
| 1972748077 | University Primary Care Practices Inc | Obstetrics & Gynecology | 33001 Solon Rd Ste 212, Solon, OH 44139-2839 | 2008-12-04 |
| 1598861312 | Daniel Rzepka | Obstetrics & Gynecology | 34501 Aurora Rd, Solon, OH 44139-3873 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1366086761 | Women's Integrative Medicine Obgyn LLC | Obstetrics & Gynecology | 477 Cooper Rd Ste 320, Westerville, OH 43081-6045 | 2019-10-30 |
| 1700437266 | Obstetrics and Gynecology South, Inc | Obstetrics & Gynecology | 700 S Stanfield Rd Ste B, Troy, OH 45373-2569 | 2019-09-26 |
| 1407414386 | Ronald James Thompson Md | Obstetrics & Gynecology | 2200 Victory Pkwy Apt 1602, Cincinnati, OH 45206-2824 | 2019-06-05 |
| 1043876394 | Rachel K Booth | Obstetrics & Gynecology | 128 E Apple St Ste 3800d, Dayton, OH 45409-2902 | 2019-05-13 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1992204432 | Catherine Nowak | Obstetrics & Gynecology | 1611 S Green Rd Ste 238, South Euclid, OH 44121-4123 | 2018-02-11 |
| 1649786963 | Columbus Obstetric and Gynecology Center | Obstetrics & Gynecology | 340 E Town St Ste 8900, Columbus, OH 43215-4646 | 2017-12-22 |
| 1538673090 | Healthy Beginnings Inc | Obstetrics & Gynecology | 1230 W Kemper Rd, Cincinnati, OH 45240-1618 | 2017-11-20 |
| 1568989762 | Women's Health for Life, Inc. | Obstetrics & Gynecology | 1220 E Elm St Ste 204, Lima, OH 45804-2898 | 2017-08-28 |
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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.