DR. STEFAN COSMIN IACOB (NPI# 1508353590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508353590 |
| Entity Type | Individual |
| Full Name | DR. STEFAN COSMIN IACOB |
| Credential | M.D. |
| Practice Address |
Mercy St. Vincent Medical Center 2213 Cherry St. Toledo OH 43608 |
| Practice Telephone | 4192514554 |
| Practice Fax Number | 4192516795 |
| Mailing Telephone | 4192514554 |
| Mailing Fax Number | 4192516795 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 57.245409 | OH | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851437503 | Stefan Iacob | Physician Assistant | 15468 N Civic Center Dr, Surprise, AZ 85374-7469 | 2007-01-29 |
| Street Address |
MERCY ST. VINCENT MEDICAL CENTER 2213 CHERRY ST. |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780247684 | Hasan Shafiq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-04-16 |
| 1033672704 | Zachary William Fulton | Orthopaedic Surgery | Mercy St. Vincent Medical Center, 2409 Cherry St., Mob 1, Suite 10, Toledo, OH 43608 | 2019-04-10 |
| 1184185993 | Ryan Andrew Falbo | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2409 Cherry St., Mob 1, Suite 10, Toledo, OH 43608 | 2019-03-26 |
| 1659862993 | Samer M.m. Abdul Kareem | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-05-22 |
| 1487141321 | Ruan Ravi Vasandani | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-17 |
| 1487141461 | Astrid Deborah Kai Ross | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry Street, Toledo, OH 43620 | 2018-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1699390617 | Morgan Cheyenne Cutting | Student in an Organized Health Care Education/Training Program | 1177 Treetop Ct, Toledo, OH 43615-6787 | 2020-06-15 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
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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.