DR. RAYMOND JOSEPH BADDOUR (NPI# 1508875634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508875634 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND JOSEPH BADDOUR |
| Credential | MD |
| Practice Address |
370 Cline Ave Ste C5 Mansfield OH 44907-1057 |
| Practice Telephone | 4197566990 |
| Practice Fax Number | 4197560944 |
| Mailing Telephone | 4197566990 |
| Mailing Fax Number | 4197560944 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35-078415 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | DEPT OF LABOR ID# | 606176800 | 01 |
| OH | 2877801 | 05 | |
| OH | ANTHEM PROV ID# | 000000182209 | 01 |
| OH | RAILROAD MEDICARE ID# | 30022664 | 01 |
| OH | MEDICAL MUTUAL GRP# | 341934892001 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1761 Beall Ave Fl 1, Wooster, OH 446912342 | 3302638312 |
| Street Address |
370 CLINE AVE STE C5 |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255318275 | Sushil M Sethi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 370 Cline Ave, Mansfield, OH 44907-1057 | 2005-12-30 |
| 1841826922 | Linda Cole | Social Worker | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-20 |
| 1730715574 | Midwest Allergy Associates, Inc. | Allergy & Immunology | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-12 |
| 1730714700 | Angela Peters | Case Manager/Care Coordinator | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-10 |
| 1336774496 | Teresa Mack | Case Manager/Care Coordinator | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-10 |
| 1669007720 | Dianne Harris-buettner | Counselor | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-03-10 |
| 1497395222 | Ashley Canankamp | Case Manager/Care Coordinator | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-01-09 |
| 1396384434 | Lauren Colleen Bates | Physician Assistant | 370 Cline Ave, Mansfield, OH 44907-1057 | 2020-01-06 |
| 1952771081 | James L Saltzgiver Jr Dds Inc | Durable Medical Equipment & Medical Supplies | 370 Cline Ave, Mansfield, OH 44907-1057 | 2015-10-01 |
| 1417191636 | Mansfield Plastic Surgery, LLC | Clinic/Center | 370 Cline Ave, Mansfield, OH 44907-1057 | 2009-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881725075 | Donna Ellen Newsome | Psychiatry & Neurology | 900 N Walnut Creek Dr, Ste. 100#211, Mansfield, TX 76063-8046 | 2007-03-08 |
| 1225132277 | Donna Ellen Newsome | Psychiatry & Neurology | 2364 N. Hwy 287, Suite 119, Mansfield, TX 76063 | 2006-09-12 |
| 1598752701 | Mansfield Neurology Inc | Psychiatry & Neurology | 222 Marion Ave, Mansfield, OH 44903-2138 | 2005-10-03 |
| 1114367786 | Suraj Rajan | Psychiatry & Neurology | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2013-06-27 |
| 1144541202 | Magdala Poon | Psychiatry & Neurology | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2010-06-11 |
| 1043338312 | Neurology Associates of Arlington, P.a. | Psychiatry & Neurology | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2007-03-26 |
| 1619010535 | Central Ohio Neurology Inc | Psychiatry & Neurology | 370 Cline Avenue, Ste C5, Mansfield, OH 44907-1057 | 2007-02-14 |
| 1750430419 | Roberto M Nieto | Psychiatry & Neurology | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2007-01-10 |
| 1205985934 | Robert E Mcmichael | Psychiatry & Neurology | 2800 E Broad St, Suite 504, Mansfield, TX 76063-6409 | 2007-01-10 |
| 1891844577 | Ganana Tesfa | Psychiatry & Neurology | 2800 E Broad St, Suite 504, Mansfield, TX 76063 | 2007-01-10 |
| Find all providers in MANSFIELD | ||||
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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.