JACK MATTMULLER (NPI# 1437421039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437421039 |
| Entity Type | Individual |
| Full Name | JACK MATTMULLER |
| Practice Address |
1750 Highland Rd Ste 7b Twinsburg OH 44087-2244 |
| Mailing Address |
4390 Linda Dr Vermilion OH 44089-3404 |
| Practice Telephone | 3304057040 |
| Practice Fax Number | 3304057044 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03116103 | OH | Pharmacy Service Providers |
| Street Address |
1750 HIGHLAND RD STE 7B |
| City | TWINSBURG |
| State | OH |
| Zip Code | 44087-2244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396215976 | Twinsburg Healthcare Center LLC | Skilled Nursing Facility | 9928 Vail Dr., Twinsburg, OH 44087 | 2018-11-27 |
| 1073042339 | Healing Starts At Home-care LLC | Home Health | 9345 Ravenna Road, Suite B, Twinsburg, OH 44087 | 2017-06-08 |
| 1750833380 | Sandra Renaud | Licensed Practical Nurse | 10486 North Pond Lane, Twinsburg, OH 44087 | 2016-10-31 |
| 1538612791 | Christopher Flessner | Psychologist | 2132 Case Parkway North Units A, B & C, Twinsburg, OH 44087 | 2016-07-25 |
| 1942677190 | Susan Bard | Physical Therapist | 10405 Springwood Circle, Twinsburg, OH 44087 | 2015-08-24 |
| 1790176477 | Elizabeth Meathe Mchugh | Counselor | 9810 Ravenna Road, Second Floor Room #1, Twinsburg, OH 44087 | 2015-02-17 |
| 1942698089 | Holly Kitzmiller | Physical Therapist | 8972 Darrow Rd., Suite 201, Twinsburg, OH 44087 | 2014-12-23 |
| 1316362460 | Victoria E Riola | Social Worker | 9810 Ravenna Rd Ste 1, Twinsburg, OH 44087 | 2014-02-26 |
| 1245667476 | Keante Shree White | Licensed Practical Nurse | 2203 Pebble Creek Dr., 204i, Twinsburg, OH 44087 | 2013-10-02 |
| 1659705804 | Lauren O'hara | Psychologist | 2132 Case Parkway North, Kidslink, Hudson, OH 44087 | 2013-08-23 |
| Find all providers in zip 44087 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619428786 | Neda Maheia Archie | Pharmacist | 8770 Chamberlin Rd, Twinsburg, OH 44087-2042 | 2016-10-24 |
| 1518417997 | Sukhjit K Kang | Pharmacist | 2351 Meadowood Blvd, Twinsburg, OH 44087-1373 | 2016-10-10 |
| 1063863405 | Edward Wales-mcgrath | Pharmacist | 3072 Abrams Dr, Twinsburg, OH 44087-3269 | 2016-06-27 |
| 1780010447 | Tammy Felice Brand | Pharmacist | 3032 Cabot Way, Twinsburg, OH 44087-3278 | 2013-09-25 |
| 1033483698 | Emily M Sutton | Pharmacist | 1750 Highland Rd Ste 7, Twinsburg, OH 44087-2244 | 2012-02-29 |
| 1871879908 | Ashley Elizabeth Carty | Pharmacist | 8701 Darrow Rd., Twinsburg, OH 44087-2719 | 2011-11-03 |
| 1912296906 | Rochele Brown | Pharmacist | 1758 Bellaway Dr, Twinsburg, OH 44087-2516 | 2011-03-30 |
| 1427376961 | Amy Gustafson | Pharmacist | 8701 Darrow Road, Twinsburg, OH 44087 | 2010-05-07 |
| 1619295391 | Madonna Therese Neumann | Pharmacist | 1750 Highland Rd, Suite F, Twinsburg, OH 44087-2275 | 2010-05-05 |
| 1780826990 | Michael Moawad | Pharmacist | 10735 Ravenna Rd Ste J, Twinsburg, OH 44087-3107 | 2009-04-02 |
| Find all providers in TWINSBURG | ||||
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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.