DR. IRENE L MARSIDI (NPI# 1336119254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336119254 |
| Entity Type | Individual |
| Full Name | DR. IRENE L MARSIDI |
| Credential | MD |
| Practice Address |
120 W Wenger Rd Englewood OH 45322 |
| Practice Telephone | 9378369921 |
| Practice Fax Number | 9378361298 |
| Mailing Telephone | 9378369921 |
| Mailing Fax Number | 9378361298 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2014-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35-04-9887M | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0568149 | 05 | |
| OH | UNITED HEALTHCARE | 1220092 | 01 |
| OH | ANTHEM BCBS | 000000011107 | 01 |
| HUMANA | D49887 | 01 |
| Street Address |
120 W WENGER RD |
| City | ENGLEWOOD |
| State | OH |
| Zip Code | 45322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740590645 | Angela D. Demoss, Dmd Inc. | Dentist | 120 W Wenger Rd, Englewood, OH 45322-2762 | 2010-10-14 |
| 1184837510 | Ira N. Kushnir Dds Inc. | Dentist | 120 W Wenger Rd, Englewood, OH 45322-2725 | 2007-05-08 |
| 1396868121 | Ira Kushnir | Dentist | 120 W Wenger Rd, Englewood, OH 45322-2725 | 2007-04-08 |
| 1265571715 | Angela Dawn Demoss | Dentist | 120 W Wenger Rd, Englewood, OH 45322-2725 | 2007-02-05 |
| 1790749307 | Premier Integrated Medical Associates, Ltd | Pediatrics | 120 W Wenger Rd, Englewood, OH 45322-2762 | 2006-04-12 |
| 1619957545 | Rengachari Paul Deenadayalu | Pediatrics | 120 W Wenger Rd, Englewood, OH 45322 | 2006-01-18 |
| 1467431569 | Donald August Pelsor | Pediatrics | 120 W Wenger Rd, Englewood, OH 45322 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528608197 | Ashley Lynn Thompson | Nurse Practitioner | 885 N Union Rd., Englewood, OH 45322 | 2020-01-13 |
| 1184181372 | Arianna Genovesi | Health Educator | 885 North Union Road, Englewood, OH 45322 | 2019-02-25 |
| 1740768803 | Michelle Mitchell | Nurse Practitioner | 6700 Commerce Center Drive, Vandalia, OH 45322 | 2018-08-01 |
| 1306260500 | Bonni Buchanan | Contractor | 3540 Artistic Court, Englewood, OH 45322 | 2014-02-07 |
| 1821246745 | Nancy G Osborn | Physical Therapy Assistant | 425 Lauricella Ct., Englewood, OH 45322 | 2008-09-04 |
| 1598936452 | Samaritan Family Care Inc | Clinical Nurse Specialist | 885 Union Road, Englewood, OH 45322 | 2008-03-19 |
| 1245422211 | Sunrise Carmel Assisted Living LLC | Assisted Living Facility | 95 W. Wenger Rd., Englewood, OH 45322 | 2007-08-14 |
| 1578682373 | Dermatology Laser Surgery Center Inc. | Dermatology | 5 Wenger Road, Englewood, OH 45322 | 2007-03-29 |
| 1508953548 | David M Kreusch Dc Corp | Chiropractor | 5 Jefferson Street, Englewood, OH 45322 | 2006-10-10 |
| 1043328529 | Louis J Vitangeli | Dentist | 320 Union Blvd, Englewood, OH 45322 | 2006-08-26 |
| Find all providers in zip 45322 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972164556 | Grace Nikolai | Pediatrics | 9000 N Main St Ste 332, Englewood, OH 45415-1185 | 2019-06-25 |
| 1811128788 | Cornerstone Pediatrics Richard C. Han M.d., PC | Pediatrics | 401a S Van Brunt St Ste 201, Englewood, NJ 07631-4600 | 2009-07-27 |
| 1285809756 | Edward R. Berman | Pediatrics | 70 Charlou Cir, Englewood, CO 80111-1103 | 2008-04-25 |
| 1780857565 | Bernard Irving Kramer | Pediatrics | 268 Everett Pl, Englewood, NJ 07631-1660 | 2008-04-11 |
| 1184774069 | Rachel A Zuckerbrot | Pediatrics | 214 Engle St Ste 23, Englewood, NJ 07631 | 2007-01-11 |
| 1093876450 | Ruthellen Fried | Pediatrics | 180 Dean Street, Englewood, NJ 07631 | 2006-12-12 |
| 1437254950 | Mary W Saleh | Pediatrics | 200 Rockridge Rd Ste 110, Englewood, OH 45322-2794 | 2006-09-13 |
| 1669438388 | Garbis Gary Baydar | Pediatrics | 370 Grand Avenue, Suite 203, Englewood, NJ 07631 | 2006-04-21 |
| 1770545279 | Gordon John Blakeman | Pediatrics | 6065 S Quebec St, Ste 100, Englewood, CO 80111 | 2006-04-03 |
| 1063028686 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 501 E Hampden Ave, Englewood, CO 80113-2702 | 2020-09-18 |
| Find all providers in ENGLEWOOD | ||||
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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.