ASHTABULA COUNTY MEDICAL CENTER (NPI# 1336477629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336477629 |
| Entity Type | Organization |
| Organization Name | ASHTABULA COUNTY MEDICAL CENTER |
| Practice Address |
2422 Lake Ave Ashtabula OH 44004-4985 |
| Mailing Address |
2422 Lake Ave Ashtabula OH 44004 |
| Practice Telephone | 4409976970 |
| Practice Fax Number | 4409947512 |
| Mailing Telephone | 4409976970 |
| Mailing Fax Number | 4409947512 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Authorized Official Name | DR. MARK A CABELIN (UROLOGIST) |
| Authorized Official Telephone | 4409976939 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 35. 087516 | OH | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790761922 | Ashtabula County Medical Center | Special Hospital | 2863 State Route 45 N, P O Bo 298, Rock Creek, OH 44084-9352 | 2005-12-20 |
| 1760569784 | Ashtabula County Medical Center | General Acute Care Hospital | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2006-11-01 |
| 1942247143 | Ashtabula County Medical Center | Specialist | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2006-05-31 |
| 1427022748 | Ashtabula County Medical Center | Psychiatric Unit | 2420 Lake Ave, Ashtabula, OH 44004-4954 | 2006-02-14 |
| 1285607416 | Ashtabula County Medical Center | General Acute Care Hospital | 2420 Lake Ave, Ashtabula, OH 44004-4954 | 2006-02-08 |
| 1477534022 | Ashtabula County Medical Center | Skilled Nursing Facility | 2420 Lake Ave, Ashtabula, OH 44004-4954 | 2005-11-10 |
| Street Address |
2422 LAKE AVE |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-4985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235130725 | Hearn Vascular, Inc. | Surgery | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2005-08-09 |
| 1992238984 | Sampurna Shakya | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2017-04-06 |
| 1699168443 | Mackenzie Acus Starns | Physician Assistant | 2422 Lake Ave, Ashtabula, OH 44004 | 2015-03-17 |
| 1801284344 | Jennifer Glaettli | Nurse Practitioner | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2015-01-07 |
| 1821357849 | Evangelos J. Bibidakis | Surgery | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2012-05-11 |
| 1780953562 | Sathish Adigopula | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2011-12-22 |
| 1992096549 | Nathaniel Scott Franley | Family Medicine | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2011-04-29 |
| 1194966978 | Reham E El Gammal | Pediatrics | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2009-03-09 |
| 1932364940 | Sanjay Kumar Srivastava | Internal Medicine | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2008-07-20 |
| 1205001161 | Preetha Muthusamy | Psychiatry & Neurology | 2422 Lake Ave, 3rd Floor, Ashtabula, OH 44004-4985 | 2008-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477546778 | R B Ravi Md Inc | Urology | 2421 Lake Ave, Ashtabula, OH 44004-4953 | 2005-08-23 |
| 1033399522 | Raveendra Babu Ravi | Urology | 2421 Lake Ave, Ashtabula, OH 44004-4953 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699237909 | Tri State Urologic Services Psc Inc | Urology | 2123 Auburn Ave Ste 434, Cincinnati, OH 45219-2906 | 2019-04-04 |
| 1073075578 | Tri State Urologic Services Psc Inc | Urology | 7529 State Rd Ste B, Cincinnati, OH 45255-6410 | 2019-04-03 |
| 1023597143 | Rajiva Ranjan Singh | Urology | 3737 Southern Blvd., Suite 4200, Kettering, OH 45429-1262 | 2018-08-09 |
| 1194232876 | Nathan Ying-ho Hoy | Urology | 9500 Euclid Ave, Q10, Cleveland, OH 44195 | 2018-01-04 |
| 1982113197 | Alliance and Salem Urology LLC | Urology | 885 S Sawburg Ave Ste 105, Alliance, OH 44601-5905 | 2017-09-20 |
| 1447788468 | Robin Ann Houk | Urology | 95 Arch St Ste 165, Akron, OH 44304-1488 | 2017-06-03 |
| 1598216152 | Kings Daughters Medical Specialties Inc. | Urology | 1729 Kinneys Ln Ste 103, Portsmouth, OH 45662-3166 | 2016-10-19 |
| 1093162463 | Wmc Physician Practices LLC | Urology | 4100 Johnson Rd Ste 200, Steubenville, OH 43952-2372 | 2016-05-16 |
| 1154783223 | Wmc Physician Practices LLC | Urology | 251 E Market Street, Cadiz, OH 43907 | 2016-03-28 |
| 1144607508 | Johnathan Doolittle | Urology | 2050 E 96th St Q Building, Cleveland, OH 44195-3548 | 2015-05-05 |
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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.