DR. MARY J GOMBASH (NPI# 1528021201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528021201 |
| Entity Type | Individual |
| Full Name | DR. MARY J GOMBASH |
| Credential | M.D. |
| Practice Address |
4571 Westbourne Rd Toledo OH 43623-2015 |
| Practice Telephone | 4198411660 |
| Practice Fax Number | 4198414103 |
| Mailing Telephone | 4198411660 |
| Mailing Fax Number | 4198414103 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
35047714 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0688707 | 05 |
| Street Address |
4571 WESTBOURNE RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43623-2015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
| 1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
| 1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
| 1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
| 1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
| 1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
| 1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
| 1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
| 1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
| 1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
| Find all providers in zip 43623 | ||||
| Taxonomy Code | 2084A0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Medicine |
| A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
| Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
| 1689211898 | Jessica Lynn Rothgeb | Psychiatry & Neurology | 1510 Seneca St, Sandusky, OH 44870-3059 | 2019-12-06 |
| 1023213105 | Richard Joseph Defranco | Psychiatry & Neurology | 12409 Lorain Ave, Cleveland, OH 44111-3515 | 2007-06-18 |
| 1871685347 | Pythias Damon Jones | Psychiatry & Neurology | 3645 Warrensville Center Rd, #216, Shaker Heights, OH 44122-5247 | 2006-09-29 |
| 1649383340 | North Canton Medical Foundation | Psychiatry & Neurology | 6513 Frank Ave Nw, North Canton, OH 44720-7265 | 2006-08-16 |
| 1952373268 | Billy Oral Barclay | Psychiatry & Neurology | 1654 Upham Dr, Columbus, OH 43210-1250 | 2006-02-02 |
| 1245228717 | Richard A Nockowitz | Psychiatry & Neurology | 1800 Allentown Rd, Lima, OH 45805-1873 | 2005-10-10 |
| 1356338222 | Giridhar Singh | Psychiatry & Neurology | 349 Olde Ridenour Rd, Gahanna, OH 43230-2528 | 2005-10-05 |
| 1194717454 | John Charles Andreozzi | Psychiatry & Neurology | 1660 Nave Rd Se, Massillon, OH 44646 | 2005-08-22 |
| 1023017720 | Azeem Qureshi | Psychiatry & Neurology | 4425 Wyandotte Woods Blvd, Dublin, OH 43016-8661 | 2005-07-15 |
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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.