DR. DONALD LEE DEWALD (NPI# 1538147525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538147525 |
Entity Type | Individual |
Full Name | DR. DONALD LEE DEWALD |
Credential | M.D. |
Practice Address |
1125 Aspira Ct Mansfield OH 44906-4125 |
Practice Telephone | 4197562122 |
Practice Fax Number | 4197565486 |
Mailing Telephone | 4197562122 |
Mailing Fax Number | 4197565486 |
Enumeration Date | 2006-01-09 |
Last Update Date | 2011-07-01 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35039490D | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0317473 | 05 |
Street Address |
1125 ASPIRA CT |
City | MANSFIELD |
State | OH |
Zip Code | 44906-4125 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588198279 | Katherine M Matthews | Pharmacist | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2017-04-19 |
1801333091 | Rachel Smith | Pharmacist | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2017-01-25 |
1073974564 | Linda Macfarlane | Nurse Practitioner | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2016-03-11 |
1730588955 | The Cleveland Clinic Foundation | Pharmacy | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2014-08-14 |
1366852824 | Joycelin F Canavan | Radiology | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2014-05-05 |
1902220387 | The Cleveland Clinic Foundation | Durable Medical Equipment & Medical Supplies | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2014-02-06 |
1902831688 | Douglas Robert Keyser | Radiology | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-07-11 |
1588602627 | Mhd Yaser Al-marrawi | Internal Medicine | 1125 Aspira Ct, Mansfield, OH 44906 | 2006-06-02 |
1689644114 | Shahzad M Khan | Internal Medicine | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-01-26 |
1316917040 | Ohio Cancer Specialists | Radiology | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-01-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205832375 | Robert Edwin Exten Jr. | Internal Medicine | 475 Lexington Ave, Mansfield, OH 44907-1501 | 2005-06-23 |
1952694739 | Paula A. Mcbrine, M.d., P.C. | Internal Medicine | 205 Chauncy St, Mansfield, MA 02048-1202 | 2011-05-26 |
1700040490 | Dallas Oncology Consultants Pa | Internal Medicine | 2800 E Broad St, Suite 212, Mansfield, TX 76063-6409 | 2008-07-11 |
1689644114 | Shahzad M Khan | Internal Medicine | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-01-26 |
1972573848 | Saurabh Das | Internal Medicine | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-01-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013315076 | Clermont County Cancer Center LLC | Internal Medicine | 4402 Hartman Ln, Batavia, OH 45103-1971 | 2014-12-08 |
1215353834 | Ahmed M Ghany | Internal Medicine | 100 W 3rd Ave Ste 150, Columbus, OH 43201-3260 | 2014-03-06 |
1972935716 | Stanley P Balcerzak | Internal Medicine | 3113 N 3 Bs and K Rd, Sunbury, OH 43074-9674 | 2013-08-03 |
1184056996 | Mohammad Ansari-dezfuli | Internal Medicine | 1700 Carriage Place, Gates Mills, OH 44040 | 2013-08-02 |
1043569486 | Virginia Ann Rhodes | Internal Medicine | 1557 Landsdale Cir, Twinsburg, OH 44087-3337 | 2012-08-30 |
1629324009 | Earl Nelson Metz | Internal Medicine | 226 E. Dublin Granville Rd., Worthington, OH 43085-3185 | 2012-08-03 |
1366715260 | John Kiess Kurtz | Internal Medicine | 3676 Kehrer Rd, Bucyrus, OH 44820-8624 | 2012-02-23 |
1922398049 | Vamsi Koduri | Internal Medicine | 4435 State Route 159, Chillicothe, OH 45601 | 2011-04-11 |
1528392297 | William H Sigalove | Internal Medicine | 130 Meadow Dr, Elyria, OH 44035-1838 | 2009-09-28 |
1922236017 | Amir Iqbal | Internal Medicine | 885 S Sawburg Ave, Suite 110, Alliance, OH 44601-5926 | 2009-06-26 |
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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.