MR. BRUCE J AVERBOOK (NPI# 1508894049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508894049 |
| Entity Type | Individual |
| Full Name | MR. BRUCE J AVERBOOK |
| Credential | MD |
| Practice Address |
2500 Metrohealth Dr Mhmc-surgery/oncology Cleveland OH 44109-1900 |
| Practice Telephone | 2167788100 |
| Mailing Telephone | 2167788100 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2013-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
35065238 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | BWC | 55884723200 | 01 |
| OH | 0929759 | 05 |
| Street Address |
2500 METROHEALTH DR MHMC-SURGERY/ONCOLOGY |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44109-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102340 | William Robert Roscoe | Optometrist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2005-05-31 |
| 1366041980 | Anthony Rimpf | Pharmacist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-23 |
| 1528667896 | Mary Gut | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-19 |
| 1629676507 | Juyoun Park | Social Worker | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-13 |
| 1245838473 | Afeez Kolawole Adisa | Pediatrics | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-10-10 |
| 1386241867 | Andrew Kociubuk | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-10-07 |
| 1992311666 | Laura Lynn Posey | Nurse Practitioner | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-18 |
| 1508472143 | Yusuf Alawadhi | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr, Cleveland, OH 44109-1998 | 2020-09-18 |
| 1255945424 | Christopher Paul Boutton | Nurse Anesthetist, Certified Registered | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-03 |
| 1992319636 | Ella Mathieson | Registered Nurse | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706811 | Shafeeque Kunhiabdullah | Pediatrics | Metrhealth Drive, Metrohealth Medical, Fellow Neonatology, Cleveland, OH 44109 | 2020-09-24 |
| 1174146823 | Andrew John Wrobel | Nurse Practitioner | 3188 W 14th St, Unit 1, Cleveland, OH 44109 | 2020-05-28 |
| 1740817998 | Ashleigh Katlyn Hamar | Community Health Worker | 3518 W. 25th Sreet, Cleveland, OH 44109 | 2020-03-26 |
| 1548895097 | Meghan Elise Mcdonald Whyard | Social Worker | 3818 W 25th, Cleveland, OH 44109 | 2020-03-05 |
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1952871501 | Susan Tamilio | Case Manager/Care Coordinator | 4269 Pearl Raod, Cleveland, OH 44109 | 2018-11-27 |
| 1982199154 | Luisa Milagros Velez | Counselor | 2202 Prame, Cleveland, OH 44109 | 2018-06-28 |
| 1154706687 | Christine Gangale | Counselor | 3518 West 25th Street, Cleveland, OH 44109 | 2015-07-27 |
| 1073993598 | Daniel Vicente Escovar | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Drive, Room A-107, Cleveland, OH 44109 | 2015-06-01 |
| 1235523168 | Alexander Nathan Pontikos | Student in an Organized Health Care Education/Training Program | 2500 Metrohealth Dr Ofc A107, Cleveland, OH 44109 | 2015-03-28 |
| Find all providers in zip 44109 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356776454 | John Hart Raaf | Surgery | 12501 Fairhill Rd, Cleveland, OH 44120-1017 | 2013-09-08 |
| 1306491626 | Tasadooq Hussain | Surgery | Cleveland Clinic 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-08-04 |
| 1801113873 | Luke Daniel Rothermel | Surgery | 11100 Euclid Avenue, Cleveland, OH 44106-5047 | 2010-04-29 |
| 1215155015 | Cleveland Breast Clinic | Surgery | 18660 Bagley Rd, Ste. 305 Bldg. 2, Cleveland, OH 44130-3483 | 2007-04-24 |
| 1902926751 | John Brian Ammori | Surgery | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2007-03-29 |
| 1689695355 | Natalie E Joseph | Surgery | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2006-07-21 |
| 1487672945 | Jill R Dietz | Surgery | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-07-17 |
| 1154305753 | Diane M Radford | Surgery | 9500 Euclid Ave, A80, Cleveland, OH 44195-0001 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184816290 | Rebecca L. Glaser | Surgery | 9530 Cutlers Trce, Dayton, OH 45458-9161 | 2007-08-13 |
| 1790975951 | Tri-state Surgical Consultants Inc | Surgery | 2123 Auburn Ave Ste 420, Cincinnati, OH 45219-2906 | 2007-07-25 |
| 1568562031 | Ahmad H. Shatila | Surgery | 18660 East Bagly Rd, Bldg #2 Suite #305, Middleburg Heights, OH 44130 | 2006-09-25 |
| 1962511998 | Bridget A. Oppong | Surgery | 1145 Olentangy River Rd Fl 3, Columbus, OH 43212-3117 | 2006-08-30 |
| 1932152162 | Edward Martin Jr. | Surgery | 300 W. 10th Avenue, Columbus, OH 43210 | 2006-05-18 |
| 1497715890 | Helen Catherine Mabry | Surgery | 3120 Glendale Avenue, Toledo, OH 43614-5811 | 2006-03-28 |
| 1184691230 | Jennifer Bryna Katz Manders | Surgery | 4440 Red Bank Road, Suite 200, Cincinnati, OH 45227-2172 | 2006-03-07 |
| 1548259492 | Brenda Jeanne Sickle-santanello | Surgery | 170 Northwoods Blvd Ste 210, Columbus, OH 43235-4711 | 2005-10-13 |
| 1982602363 | William Gress Kraybill Jr. | Surgery | 300 W 10th Ave, Columbus, OH 43210-1280 | 2005-07-11 |
| 1124580204 | Jessica Desalvo | Surgery | 5100 W Broad St, Columbus, OH 43228-1607 | 2019-04-05 |
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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.