ANGELA EARLEY (NPI# 1508873548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508873548 |
| Entity Type | Individual |
| Full Name | ANGELA EARLEY |
| Credential | M.D. |
| Practice Address |
111 S Grant Ave Ste 350 Columbus OH 43215-4701 |
| Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
| Practice Telephone | 6145669489 |
| Practice Fax Number | 6145668392 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD424455 | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD424455 | PA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
35.131203 | OH | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD424455 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101253782 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306054739 | Angela Francine Earley | Physical Therapy Assistant | 1201 Sam Perry Blvd Ste 240, Fredericksburg, VA 22401-4490 | 2007-05-18 |
| 1174502306 | Angela P. Earley | Social Worker | 3469 Fortuna Drive, Akron, OH 44312-5281 | 2006-01-16 |
| Street Address |
111 S GRANT AVE STE 350 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059808 | Connor Prusz | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2020-10-08 |
| 1750931192 | Jordan Amanda Smith | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2019-09-18 |
| 1417515362 | Alexandra Elizabeth Weimer | Nurse Practitioner | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2019-06-04 |
| 1316502255 | Amanda Beth Hammond | Nurse Practitioner | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2019-05-07 |
| 1649730383 | Stephanie Gale Gross | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2019-03-20 |
| 1487126793 | Jerrin Richelle Hill | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2018-12-27 |
| 1053897330 | Caroline Nicole Holden | Nurse Practitioner | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2018-07-19 |
| 1700389988 | Alexandra Maria Perez | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2018-03-14 |
| 1457864902 | Brittany Lisjak | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2017-11-07 |
| 1356863666 | Hannah Conn | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2017-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003178427 | Andrew Loudon | Surgery | 395 W 12th Ave Ste 634, Columbus, OH 43210 | 2012-06-12 |
| 1306070867 | Robert Edward Falcone | Surgery | 150 E Lafayette St, Columbus, OH 43215-2948 | 2009-05-12 |
| 1902294556 | Victor Dizon, D.o., Facos, Inc | Surgery | 793 W State St, Columbus, OH 43222-1551 | 2015-01-06 |
| 1710283460 | Malcolm Ingram Goodchild | Surgery | 2737 Warm Springs Rd, Building A, Columbus, GA 31904-6859 | 2011-01-28 |
| 1619137601 | Urmil B Pandya | Surgery | 111 S Grant Ave, Trauma Services, Columbus, OH 43215-4701 | 2008-06-12 |
| 1275674673 | Riverside Trauma Surgeons LLC | Surgery | 3535 Olentangy River Rd, Columbus, OH 43214-3908 | 2007-02-09 |
| 1801986492 | Amalia Lenora Cochran | Surgery | 1581 Dodd Dr Fl 1, Columbus, OH 43210-1257 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720277494 | Amy Marie Jarvis | Surgery | 1 Akron General Ave Ste 359, Akron, OH 44307-2432 | 2007-10-18 |
| 1407811862 | William F Fallon | Surgery | 550 E Market St, Suite 103, Akron, OH 44304-1613 | 2006-04-19 |
| 1114586641 | Katharine Tavani | Surgery | 1 Perkins Sq, Akron, OH 44308-1063 | 2019-06-09 |
| 1972865350 | Kevin Vincent Schrand | Surgery | 234 Goodman St, Cincinnati, OH 45219-2364 | 2012-06-12 |
| 1255613659 | Alliance Physician Inc | Surgery | 3535 Southern Blvd, Suite A, Kettering, OH 45429-1221 | 2011-09-13 |
| 1174803282 | Esther Tseng | Surgery | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2011-08-19 |
| 1649469495 | Shrawan Gaitonde | Surgery | 234 Goodman St., Cincinnati, OH 45219 | 2007-10-17 |
| 1164527545 | Carl Michael Dunham | Surgery | 1044 Belmont Ave, Youngstown, OH 44504 | 2006-09-13 |
| 1598717308 | Health Specialists of Dayton Inc | Surgery | 3535 Salem Ave, Ste 201, Dayton, OH 45406-2645 | 2006-05-17 |
| 1518938471 | University of Cincinnati Surgeons-trauma, LLC | Surgery | 231 Albert Sabin Way, Ml 0558, Cincinnati, OH 45267-0001 | 2006-01-30 |
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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.