MR. JEFFREY LYN FITZ (NPI# 1558398743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558398743 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY LYN FITZ |
| Credential | ATC |
| Practice Address |
6350 Glenway Ave Cincinnati OH 45211-6378 |
| Mailing Address |
5418 Pinallas Ct Cincinnati OH 45238-5237 |
| Practice Telephone | 5136627257 |
| Mailing Telephone | 5133477775 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT-2116 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | STATE LICENSE # | AT-02116 | 01 |
| OH | NATA MEMBER # | 841081 | 01 |
| Street Address |
6350 GLENWAY AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45211-6378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728626 | Roshni Shetty | Internal Medicine | 6350 Glenway Ave, Suite 400, Cincinnati, OH 45211-6378 | 2005-05-30 |
| 1912384058 | Eric Tungol | Nurse Practitioner | 6350 Glenway Ave, Suite 305, Cincinnati, OH 45211-6378 | 2015-04-28 |
| 1053717025 | Kadi Carmosino | Physical Therapist | 6350 Glenway Ave, Ste 415, Cincinnati, OH 45211-6378 | 2014-11-18 |
| 1104249051 | Mercy Health Physicians Cincinnati LLC | Durable Medical Equipment & Medical Supplies | 6350 Glenway Ave, Suite 415, Cincinnati, OH 45211-6397 | 2014-01-29 |
| 1104248129 | Kimberly Kay Benkner | Nurse Practitioner | 6350 Glenway Ave, Cincinnati, OH 45211-6378 | 2014-01-09 |
| 1346670866 | Trihealth Os, LLC | Orthopaedic Surgery | 6350 Glenway Ave, Suite 400, Cincinnati, OH 45211-6378 | 2013-11-19 |
| 1306289541 | Patrick J Massa | Family Medicine | 6350 Glenway Ave, Suite 205, Cincinnati, OH 45211-6378 | 2013-04-08 |
| 1912258963 | Lisa Michelle Byrd | Nurse Practitioner | 6350 Glenway Ave, Suite 400, Cincinnati, OH 45211-6378 | 2012-09-29 |
| 1497017990 | Stephanie Manolis | Obstetrics & Gynecology | 6350 Glenway Ave, Suite 401, Cincinnati, OH 45211-6378 | 2012-06-11 |
| 1275800237 | Family Foot & Ankle Center Inc Pa | Podiatrist | 6350 Glenway Ave, Suite 301, Cincinnati, OH 45211-6378 | 2011-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649772666 | Holly Hornfeck | Case Manager/Care Coordinator | 3030 West Fork Rd, Cincinnati, OH 45211 | 2018-03-06 |
| 1972029890 | Patrick Maurice Lee-mitchell Sr. | Assisted Living Facility | 3403 Mayfair Ave, Cincinnati, OH 45211 | 2017-08-22 |
| 1902321847 | Tracey M Howard | Licensed Practical Nurse | 2661 Westwood Northern Blvd, Cincinnati, OH 45211 | 2017-08-11 |
| 1740712900 | Kenya Railey | Social Worker | 3325 Glenmore Avwe, Cincinnati, OH 45211 | 2017-03-28 |
| 1942742978 | Benjamin Allen Barnes | Nurse Practitioner | 3300 Mercy Health Blvd., Cincinnati, OH 45211 | 2016-11-08 |
| 1720530132 | Kandise Cook | Licensed Vocational Nurse | 2610 Morningdale Ct, Cincinnati, OH 45211 | 2016-11-02 |
| 1942759659 | Jasmine L Williams | Technician | 2813 Temple Ave, Apt 1, Cincinnati, OH 45211 | 2016-09-23 |
| 1528465457 | Continuous Living Inc. | Point of Service | 3516 Harrison Ave Suit B, Cincinnati, OH 45211 | 2014-11-20 |
| 1144620865 | Marlo Herring | Home Health Aide | 2864 Shaffer Ave, Cincinnati, OH 45211 | 2014-08-29 |
| 1578981759 | Healing Hands Health Care Service, LLC | In Home Supportive Care | 2915 Wardall Avenue, Cincinnati, OH 45211 | 2014-04-03 |
| Find all providers in zip 45211 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386262939 | Karl H Quilligan | Specialist/Technologist | 1043 Holz Ave, Cincinnati, OH 45230-3644 | 2020-07-10 |
| 1922636679 | Emi Matsuno | Specialist/Technologist | 2751 O'varsity Way Suite 265, Cincinnati, OH 45221-0001 | 2020-03-30 |
| 1093342164 | Philip Montano | Specialist/Technologist | 2571 O'varsity Way Suite 265, Cincinnati, OH 45221-0001 | 2020-03-26 |
| 1558913632 | Mollie Borcherding | Specialist/Technologist | 3600 Victory Pkwy, Cincinnati, OH 45207 | 2019-07-10 |
| 1518529767 | Tyler Smith | Specialist/Technologist | 6847 Stewart Rd Apt 323, Cincinnati, OH 45236-4258 | 2019-07-08 |
| 1104380674 | Alexis Murphy | Specialist/Technologist | 11981 Elkwood Dr, Cincinnati, OH 45240-1521 | 2019-01-29 |
| 1003386137 | Katie Cornell | Specialist/Technologist | 2862 Deerhaven Dr, Cincinnati, OH 45244-4524 | 2018-12-02 |
| 1396213559 | Carolyn Stockwell | Specialist/Technologist | 4460 Red Bank Rd Ste 110, Cincinnati, OH 45227-2173 | 2018-11-06 |
| 1992288583 | Craig Donald Lindsey | Specialist/Technologist | 9001 Montgomery Rd, Cincinnati, OH 45242-7711 | 2018-09-11 |
| 1023504230 | Dalton Alan Davis | Specialist/Technologist | 3800 Victory Pkwy Unit 1, Cincinnati, OH 45207-1092 | 2018-07-11 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45211 |
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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.