LORAIN COUNTY HEALTH & DENTISTRY (NPI# 1528430097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528430097 |
| Entity Type | Organization |
| Organization Name | LORAIN COUNTY HEALTH & DENTISTRY |
| Practice Address |
1205 Broadway Ave Lorain OH 44052-3409 |
| Mailing Address |
260 S Main Oberlin OH 44074 |
| Practice Telephone | 4402401655 |
| Practice Fax Number | 4402401663 |
| Mailing Telephone | 4402401655 |
| Mailing Fax Number | 4402401663 |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2015-10-23 |
| Authorized Official Name | STEPHANIE WIERSMA (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4402401655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 122300000X | Dentist | Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690351 | Lorain County Health & Dentistry | Clinic/Center | 105 Louden Ct., Elyria, OH 44035-8028 | 2020-02-10 |
| 1538791314 | Lorain County Health & Dentistry | Clinic/Center | 260 S. Main St, Oberlin, OH 44074-1773 | 2020-02-10 |
| 1780216564 | Lorain County Health & Dentistry | Clinic/Center | 412 E. River St., Elyria, OH 44035-5252 | 2020-02-10 |
| 1346872124 | Lorain County Health & Dentistry | Clinic/Center | 1205 Broadway Ave., Lorain, OH 44052-3409 | 2020-02-10 |
| 1245790237 | Lorain County Health & Dentistry | Family Medicine | 6140 S. Broadway Ave., Lorain, OH 44053-3821 | 2019-03-25 |
| 1336697184 | Lorain County Health & Dentistry | Family Medicine | 6150 Square Dr., Lorain, OH 44052-3409 | 2016-09-21 |
| 1023564143 | Lorain County Health & Dentistry | Nurse Practitioner | 6150 Park Square Dr., Lorain, OH 44053-4153 | 2016-08-29 |
| 1891030128 | Lorain County Health & Dentistry | Family Medicine | 412 E River St, Elyria, OH 44035-5252 | 2012-11-27 |
| 1841238417 | Lorain County Health & Dentistry | Oral & Maxillofacial Surgery | 1205 Broadway, Lorain, OH 44052-3409 | 2006-06-03 |
| 1649802455 | Lorain County Health & Dentistry | Clinic/Center | 6140 S. Broadway Ave., Lorain, OH 44053-3821 | 2020-02-10 |
| Street Address |
1205 BROADWAY AVE |
| City | LORAIN |
| State | OH |
| Zip Code | 44052-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205302106 | Aurora | Home Health | 600 Broadway Ave, Lorain, OH 44052 | 2018-10-17 |
| 1790298180 | Vanessa Marie Butsko | Speech-Language Pathologist | 1051 E. St., Lorain, OH 44052 | 2017-11-08 |
| 1720504079 | Horizon Science Academy Lorain | Local Education Agency (LEA) | 760 Tower Blvd, Lorain, OH 44052 | 2017-08-18 |
| 1497285654 | Alan Golowenski | Counselor | 305 W. 20th St, Lorain, OH 44052 | 2017-06-19 |
| 1699178046 | Lizbeth Citak | Registered Nurse | 446 Florida Avenue, Lorain, OH 44052 | 2014-09-30 |
| 1497945729 | Edward Jean Suggs | Home Health Aide | 427 West 20th St, Lorain, OH 44052 | 2007-08-01 |
| 1508063090 | Niyati Pankaj Sheth | Internal Medicine | 221 W 21st Street Suite 1, Infectious Disease Physicians, Lorain, OH 44052 | 2007-06-28 |
| 1437363132 | Laurie Ann Wilson | Licensed Practical Nurse | 740 Hamilton Ave Apt 2, Lorain, OH 44052 | 2007-05-10 |
| 1942424445 | Mary Jane Harvey | Licensed Practical Nurse | 1608 Euclid Ave, Lorain, OH 44052 | 2007-04-13 |
| 1093837890 | Anna Renea Kizina | Registered Nurse | 323 Concord Drive, Lorain, OH 44052 | 2007-04-04 |
| Find all providers in zip 44052 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316900566 | Jwa-il James Seo | Pediatrics | 4560 Oberlin Ave, Lorain, OH 44053-3195 | 2006-04-10 |
| 1770557001 | Samuel Getachew | Pediatrics | 2152 Reid Ave, Lorain, OH 44052-4722 | 2006-02-14 |
| 1396749370 | Khalid Akbar | Pediatrics | 3600 Kolbe Rd, Ste 105, Lorain, OH 44053-1654 | 2005-06-08 |
| 1427344639 | Meghan Elizabeth Lynch Ljubi | Pediatrics | 3600 Kolbe Rd, Ste 120, Lorain, OH 44053-1654 | 2011-06-26 |
| 1972811081 | Samuel Getachew Md, Inc | Pediatrics | 2152 Reid Ave, Lorain, OH 44052-4722 | 2010-09-23 |
| 1851422315 | University Primary Care Practices Inc | Pediatrics | 3600 Kolbe Rd Ste 120, Lorain, OH 44053-1652 | 2007-03-08 |
| 1699857938 | Peggy Kaminski | Pediatrics | 3600 Kolbe Rd Ste 120, Lorain, OH 44053-1652 | 2006-10-19 |
| 1649351636 | Cynthia M Brawner | Pediatrics | 3600 Kolbe Rd Ste 120, Lorain, OH 44053-1652 | 2006-10-18 |
| 1487743605 | Amada E. Abrigo | Pediatrics | 1800 Livingston Ave, Lorain, OH 44052-3781 | 2006-10-12 |
| 1255308060 | Alba Juanita Ortega Close | Pediatrics | 3600 Kolbe Rd, Ste 209, Lorain, OH 44053-1654 | 2006-03-01 |
| Find all providers in LORAIN | ||||
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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.