STEPHEN WANNER (NPI# 1538608625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538608625 |
| Entity Type | Individual |
| Full Name | STEPHEN WANNER |
| Practice Address |
667 Eastland Ave Se Warren OH 44484-4503 |
| Practice Telephone | 4406362359 |
| Mailing Telephone | 4406362359 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
667 EASTLAND AVE SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285639484 | Michael A. Shumaker | Orthopaedic Surgery | 667 Eastland Ave Se, St Joseph Warren Hospital Medical Education Dept, Warren, OH 44484-4503 | 2005-06-15 |
| 1063077972 | Andrew G Cramer | Student in an Organized Health Care Education/Training Program | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2019-05-06 |
| 1649733692 | Christopher Julian Gause | Student in an Organized Health Care Education/Training Program | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2019-04-08 |
| 1043771231 | Graham Cohen | Orthopaedic Surgery | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2019-03-29 |
| 1720557143 | Angela Helen Dimos | Pharmacist | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2018-11-14 |
| 1346718079 | Elizabeth Vallas | Pharmacist | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2018-11-12 |
| 1508333600 | Lauren Thomas | Pharmacist | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2018-10-26 |
| 1467928887 | Michelle Lynn Blower | Pharmacist | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2018-10-23 |
| 1144795691 | Kevin Blair | Pharmacist | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2018-10-11 |
| 1881134872 | Will Beucler | Student in an Organized Health Care Education/Training Program | 667 Eastland Ave Se, Medical Ed Dept., Warren, OH 44484-4503 | 2017-02-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083239792 | Krutarth Kandarp Pandya | Student in an Organized Health Care Education/Training Program | 1350 East Market Street 7th Floor, Warren, OH 44483 | 2020-06-09 |
| 1902435738 | Peter Alexander Iskander | Student in an Organized Health Care Education/Training Program | 1350 E Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1093344822 | Matthew Jacob | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, 7th Floor, Warren, OH 44483 | 2020-04-03 |
| 1265069967 | Luis Ariel Crespo | Student in an Organized Health Care Education/Training Program | 1350 E Market St Fl 7, Warren, OH 44483-6608 | 2020-03-24 |
| 1720615420 | Cindy Tran | Student in an Organized Health Care Education/Training Program | 1350 E Market St Fl 7th, Warren, OH 44483-6608 | 2020-03-24 |
| 1225679608 | Robert James Robine Jr. | Student in an Organized Health Care Education/Training Program | 8405 Hettenberger Ave, Warren, MI 48093-4968 | 2019-10-07 |
| 1306405527 | Caroline Kwon | Student in an Organized Health Care Education/Training Program | 4 Hardwood Ct, Warren, NJ 07059-2700 | 2019-06-11 |
| 1306309638 | Sameer Raj Joshi | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Warren, OH 44483 | 2019-04-12 |
| 1033671128 | Gopal A Desai | Student in an Organized Health Care Education/Training Program | 45 Briarwood Dr E, Warren, NJ 07059-6780 | 2019-04-05 |
| 1538656921 | Biswaraj Tharu | Student in an Organized Health Care Education/Training Program | 1350 East Market Street, Trumbull Regional Medical Cent, Warren, OH 44483 | 2018-04-20 |
| Find all providers in WARREN | ||||
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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.