JACOB PANGALLO (NPI# 1437679743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437679743 |
| Entity Type | Individual |
| Full Name | JACOB PANGALLO |
| Practice Address |
117 Chapel Rd Amelia OH 45102 |
| Mailing Address |
117 Chapel Rd Amelia OH 45102-1709 |
| Practice Telephone | (513) 604-0702 |
| Mailing Telephone | 5136040702 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
117 CHAPEL RD |
| City | AMELIA |
| State | OH |
| Zip Code | 45102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336676725 | Tressa Louise Vauter | Technician | 1751 E Ohio Pike 124b., Amelia, OH 45102 | 2017-05-16 |
| 1740639988 | Buckeye Dental Care LLC. | Point of Service | 1268 Ohio Pike, Amelia, OH 45102 | 2016-06-08 |
| 1992085856 | Emily J Woodward | Nurse's Aide | 1507 Thomaston Dr, Unit F, Amelia, OH 45102 | 2011-08-24 |
| 1033320999 | American Home Health Care | Durable Medical Equipment & Medical Supplies | 1815 State Road 125, Amelia, OH 45102 | 2007-05-24 |
| 1215038849 | Patrick D Weadick | Chiropractor | 1739 E Ohio Pike, Ohio Pike Chiropractic Inc, Amelia, OH 45102 | 2006-09-26 |
| 1912434267 | Elizabeth Flynn Adams | Nurse Practitioner | 262 W Main St, Amelia, OH 45102 | 2017-05-17 |
| 1093065450 | Leslie Mae Whitacre | Pharmacist | 57 W Main St, Amelia, OH 45102 | 2012-09-13 |
| 1780983015 | Kelli Nichole Votel | Counselor | 43 East Main Street, Amelia, OH 45102 | 2011-03-25 |
| 1033226212 | Richard E Godfroy | Dentist | 105 W Main St, Amelia, OH 45102 | 2006-08-24 |
| 1154617736 | Primary Care Associates Inc | Internal Medicine | 1324 State Route Suite 125, Amelia, OH 45102-0015 | 2011-06-22 |
| Find all providers in zip 45102 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306254180 | Meagan Bevins | Specialist/Technologist | 1672 State Route 749, Amelia, OH 45102-2410 | 2014-07-24 |
| 1922449800 | Michael Burnes | Specialist/Technologist | 1357 Satinwood, Amelia, OH 45102-1094 | 2013-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486313 | Jenifer Bojanowski | Specialist/Technologist | 1009 Parkleigh Rd, Columbus, OH 43220-4041 | 2020-11-01 |
| 1497355085 | Stephanie Soja | Specialist/Technologist | 4170 State Route 43, Kent, OH 44240-6916 | 2020-11-01 |
| 1518566769 | Hannah Dawn Bailey | Specialist/Technologist | 42338 State Route 7, Coolville, OH 45723-9519 | 2020-10-20 |
| 1790384949 | Erin Ball | Specialist/Technologist | 1121 Faircrest St Sw, Canton, OH 44706-4850 | 2020-10-20 |
| 1427657675 | Kacie Lucille Leppla | Specialist/Technologist | 6471 Township Road 346, Millersburg, OH 44654 | 2020-10-20 |
| 1144828815 | Sarah Abelseth | Specialist/Technologist | 2547 Panther Dr Ne, New Lexington, OH 43764-1396 | 2020-10-14 |
| 1235737511 | Kayla Marie Bartlett-ulrich | Specialist/Technologist | 1 University Dr # 128, Bluffton, OH 45817-2104 | 2020-10-09 |
| 1417554981 | Abbigayle Gesler | Specialist/Technologist | 1211 Oakridge Ct, Wapakoneta, OH 45895-9464 | 2020-10-07 |
| 1851998421 | Olivia A Saflund | Specialist/Technologist | 9514 Reiger Rd, Berlin Heights, OH 44814-9644 | 2020-10-06 |
| 1215534151 | Lideja White | Specialist/Technologist | 12507 Marston Ave, Cleveland, OH 44105-5452 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.