WOOSTER CLINIC, LLC (NPI# 1497801237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497801237 |
| Entity Type | Organization |
| Organization Name | WOOSTER CLINIC, LLC |
| Practice Address |
721 E Milltown Rd Wooster OH 44691-1255 |
| Mailing Address |
1740 Cleveland Rd Wooster OH 44691-2204 |
| Practice Telephone | 3302874500 |
| Mailing Telephone | 3302874500 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | DR. ANTHONY TIZZANO (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3302874522 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0705AS | OH | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033135009 | Wooster Clinic, LLC | Clinic/Center | 1740 Cleveland Rd, Wooster, OH 44691-2204 | 2006-07-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | WOOSTER CLINIC, LLC | 9500 Euclid Ave., Cleveland, OH 44195 |
| Street Address |
721 E MILLTOWN RD |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-1255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336105048 | Daniel P Peabody | Surgery | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2006-04-21 |
| 1174185250 | Corey Austin Thomas | Physical Therapist | 721 E Milltown Rd, Wooster, OH 44691-1331 | 2019-06-28 |
| 1235593054 | Sean Jackson | Physical Therapist | 721 E Milltown Rd, Wooster, OH 44691-1331 | 2016-04-07 |
| 1548681422 | Kristin Chabak | Registered Nurse | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2013-12-19 |
| 1699103929 | Katherine Provenzano | Nurse Practitioner | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2013-10-23 |
| 1265705818 | Thomas David Cannon | Clinical Exercise Physiologist | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2012-02-13 |
| 1770854440 | Jaime Demarco | Registered Nurse | 721 E Milltown Rd, Wooster, OH 44691-1331 | 2012-01-26 |
| 1215123963 | James A Karol | Physician Assistant | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2007-09-17 |
| 1134329667 | Bradley Arthur Pierce | Orthopaedic Surgery | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2007-07-23 |
| 1255536751 | Kate E Bullach | Physical Therapist | 721 E Milltown Rd, Wooster, OH 44691-1255 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003079187 | Wasc LLC | Clinic/Center | 3373 Commerce Parkway, Suite 1, Wooster, OH 44691 | 2008-07-08 |
| 1265462881 | Wooster Ophthalmologists, Inc. | Clinic/Center | 3519 Friendsville Rd, Wooster, OH 44691-1241 | 2006-07-03 |
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|---|---|---|---|---|
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| 1851904445 | The Good Samaritan Hospital of Cincinnati, Ohio | Clinic/Center | 538 Oak St Ste 100, Cincinnati, OH 45219-2554 | 2020-08-25 |
| 1952912552 | The Surgery Center of North Central Ohio LLC | Clinic/Center | 1 Emerald Pkwy, Norwalk, OH 44857-2671 | 2020-08-17 |
| 1295344026 | West Chester Surgical Suites, LLC | Clinic/Center | 8742-8744 Union Centre Blvd, West Chester, OH 45069-4876 | 2020-07-28 |
| 1194341768 | Wellington Specialty Surgery Center, LLC | Clinic/Center | 4355 Ferguson Dr Ste 190, Cincinnati, OH 45245-5137 | 2020-06-19 |
| 1902431646 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 430 Altair Pkwy Ste 120, Westerville, OH 43082-7647 | 2020-03-03 |
| 1568094399 | The Surgery Center of Southwest Ohio, LLC | Clinic/Center | 2210 Arbor Blvd Ste 100, Moraine, OH 45439-1506 | 2020-02-10 |
| 1013565175 | David B Schwartz Md, LLC | Clinic/Center | 2123 Auburn Ave Ste 320, Cincinnati, OH 45219-2906 | 2019-08-30 |
| 1801457478 | Dialysis Access Center, LLC | Clinic/Center | 8423 Market St Ste 210, Boardman, OH 44512-6778 | 2019-06-25 |
| 1750948873 | Erie Shores Surgery Center LLC | Clinic/Center | 2800 Hayes Ave Bldg E, Sandusky, OH 44870-7255 | 2019-05-23 |
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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.