HEALTHSPAN PHYSICIANS, LLC (NPI# 1518379908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518379908 |
| Entity Type | Organization |
| Organization Name | HEALTHSPAN PHYSICIANS, LLC |
| Other Organization Name | HEALTHSPAN PHYSICIANS - STRONGSVILLE |
| Practice Address |
17406 Royalton Rd Strongsville OH 44136-5151 |
| Mailing Address |
12301 Snow Rd Revenue Cycle Department Parma OH 44130-1002 |
| Practice Telephone | 4408462813 |
| Practice Fax Number | 4408462889 |
| Mailing Telephone | 8662658844 |
| Mailing Fax Number | 2162658890 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-09-22 |
| Authorized Official Name | MICHAEL MILECA (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 2162658811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| HealthSpan Physicians - Strongsville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215349634 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 12301 Snow Rd, Parma, OH 44130-1002 | 2014-05-21 |
| 1568874949 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2014-05-20 |
| 1174935563 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 20575 Center Ridge Rd, Suite 502, Rocky River, OH 44116-3422 | 2014-05-20 |
| 1629480058 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 1260 Independence Ave, Akron, OH 44310-1812 | 2014-05-20 |
| 1790197168 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 7536 Fredle Dr, Painesville, OH 44077-9406 | 2014-05-20 |
| 1730591108 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 2500 State Route 59, Suite 28, Kent, OH 44240-7105 | 2014-05-20 |
| 1235541624 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 8920 Canyon Falls Blvd, Twinsburg, OH 44087-1990 | 2014-05-20 |
| 1952713331 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2014-05-20 |
| 1033521422 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-05-20 |
| 1841602216 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 4055 Embassy Pkwy, Fairlawn, OH 44333-1781 | 2014-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | HEALTHSPAN PHYSICIANS, LLC | 615 Elsinore Place, Cincinnati, OH 45202 |
| Street Address |
17406 ROYALTON RD |
| City | STRONGSVILLE |
| State | OH |
| Zip Code | 44136-5151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720092372 | Deborah Payn Smith | Pharmacist | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2006-07-28 |
| 1659708444 | Healthspan Integrated Care | Pediatrics | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2013-10-11 |
| 1548387368 | Noha S Dardir | Family Medicine | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2007-03-25 |
| 1568520583 | Kaiser Permanente | Clinic/Center | 17406 Royalton Rd, Strongsville, OH 44136 | 2006-12-04 |
| 1851485023 | James Michael Wertman | Pediatrics | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2006-10-03 |
| 1316049448 | Anthony Michael Petruzzi | Physician Assistant | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2006-09-01 |
| 1245342328 | Gary Jay Damert | Internal Medicine | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2006-08-31 |
| 1336254663 | Nicholas John Dreher | Internal Medicine | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2006-08-19 |
| 1740291079 | Stacy A Woods | Pharmacist | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2006-08-11 |
| 1184634438 | Shannon Marie Just | Pharmacist | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887688 | Elizabeth M Smutek | Homemaker | 16920 Deer Path Dr, Cleveland, OH 44136 | 2020-09-24 |
| 1528507332 | Ridge Park Urgent Care LLC | Clinic/Center | 16244 Pearl Road, Strongsville, OH 44136 | 2017-02-14 |
| 1871047126 | Ralph Rivera | Social Worker | 15251 Colebright Rd, Strongsville, OH 44136 | 2016-08-04 |
| 1598184392 | Kelly Nye Sutherland | Physical Therapist | 16761 South Park Center/ St30, Strongsville, OH 44136 | 2014-04-09 |
| 1427475383 | Shena Colburn | Physical Therapy Assistant | 19502 Pearl Road, Strongsville, OH 44136 | 2014-03-27 |
| 1851640445 | Dentkos Endodontics, LLC | Dentist | 16626 Pearl Rd, Strongsville, OH 44136 | 2012-08-29 |
| 1861777823 | Connie Agui | Registered Nurse | 19017 Turkey Meadow Lane, Strongsville, OH 44136 | 2011-10-20 |
| 1629376397 | America's Best Contacts & Eyeglasses | Technician/Technologist | 17260 Royalton Road, Strongsville, OH 44136 | 2011-03-04 |
| 1932432267 | Costco Wholesale Corporation | Pharmacy | 16690 Royalton Rd, Strongsville, OH 44136 | 2009-09-18 |
| 1003051715 | Francois Abi Fadel | Internal Medicine | Strongsville Family Health and Surgery Center, 16761 South Park Center, Strongsville, OH 44136 | 2008-12-09 |
| Find all providers in zip 44136 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861778797 | Discount Drug Mart Inc | Durable Medical Equipment & Medical Supplies | 13919 Prospect Rd, Strongsville, OH 44149-3833 | 2011-10-24 |
| 1336439934 | Med Plus Supply LLC | Durable Medical Equipment & Medical Supplies | 13477 Prospect Rd Ste 103a, Strongsville, OH 44149-3867 | 2011-04-15 |
| 1346577897 | Elite Medical LLC | Durable Medical Equipment & Medical Supplies | 12980 Pearl Rd, Strongsville, OH 44136-3426 | 2009-11-04 |
| 1093952129 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 19980 W 130th St, Strongsville, OH 44136-8437 | 2009-01-12 |
| 1063677136 | Schulz Enterprises | Durable Medical Equipment & Medical Supplies | 20670 Donegal Ln, Strongsville, OH 44149-0981 | 2008-07-28 |
| 1750566477 | Advanced Medical Sales LLC | Durable Medical Equipment & Medical Supplies | 12950 W 130th St, Strongsville, OH 44136-4671 | 2007-12-31 |
| 1801905146 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 14701 Pearl Rd, Strongsville, OH 44136-5026 | 2006-08-30 |
| 1407878200 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 18200 Royalton Rd, Strongsville, OH 44136-5181 | 2006-07-24 |
| 1447277637 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8585 Pearl Rd, Strongsville, OH 44136-1641 | 2006-07-16 |
| 1417202680 | Strongsville Podiatry LLC | Durable Medical Equipment & Medical Supplies | 18181 Pearl Rd, B-200, Strongsville, OH 44136-6949 | 2012-07-13 |
| Find all providers in STRONGSVILLE | ||||
| City | STRONGSVILLE |
| Zip Code | 44136 |
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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.