LYDIA LEE POTOMA (NPI# 1558908400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558908400 |
| Entity Type | Individual |
| Full Name | LYDIA LEE POTOMA |
| Credential | PMHNP-BC |
| Practice Address |
12300 Mccracken Rd Garfield Heights OH 44125-2914 |
| Practice Telephone | 2165878341 |
| Mailing Telephone | 2165878341 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
378650 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
12300 MCCRACKEN RD |
| City | GARFIELD HEIGHTS |
| State | OH |
| Zip Code | 44125-2914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366070096 | Kathleen Myers | Occupational Therapist | 12300 Mccracken Rd, Garfield Heights, OH 44125-2975 | 2020-03-30 |
| 1316575343 | Marylou Yaskanich | Occupational Therapist | 12300 Mccracken Rd, Garfield Heights, OH 44125-2975 | 2020-03-27 |
| 1659842805 | Laura Emily Umek | Physician Assistant | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2018-12-16 |
| 1619457926 | Kelly Jackson | Physician Assistant | 12300 Mccracken Rd, Garfield Heights, OH 44125-2975 | 2018-08-16 |
| 1780103945 | Irena Priadoun | Dietitian, Registered | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2017-09-19 |
| 1366984387 | Nicole Mccorkindale | Pharmacist | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2016-11-08 |
| 1790138089 | Joseph Williams | Pharmacist | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2016-07-21 |
| 1366891327 | Thomas Fowler | Emergency Medicine | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2016-06-09 |
| 1205297678 | Tatyana Kligman | Nurse Practitioner | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2016-03-14 |
| 1770943912 | Darleen Myers | Nurse Practitioner | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2016-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852268 | Rosemary B. Field | Registered Nurse | 12500 Mccracken Rd, Garfield Heights, OH 44125 | 2020-05-13 |
| 1720639040 | Unique Jones | Technician | 8137 Reed Ave, Garfield Hts, OH 44125 | 2019-09-27 |
| 1215404736 | Lauren Deniese Taylor | Nurse Practitioner | Marymount Hospital, 12300 Mccracken Road, Garfield Heights, OH 44125 | 2018-11-02 |
| 1023599925 | Fresenius Medical Care Garfield Heights Home, LLC | Clinic/Center | 9729 Granger Rd, Garfield Heights, OH 44125 | 2018-08-28 |
| 1306326939 | John Paul Allison | Nurse Practitioner | 12300 Mckraken Road, Garfield Heights, OH 44125 | 2018-08-14 |
| 1629573944 | Chelsee Christine Williams | Case Manager/Care Coordinator | 12395 Mccraken Rd Suite A, Garfield Heights, OH 44125 | 2018-03-28 |
| 1730605908 | Shauntae Patterson | Home Health | 8133 Garfield Blvd Upstairs, Garfield Heights, OH 44125 | 2017-08-18 |
| 1134643398 | Velma Charis George | Licensed Practical Nurse | 11414 Mccracken Road, Garfield Hts, OH 44125 | 2017-07-31 |
| 1528591450 | Joanne Biltz Biltz | Speech-Language Pathologist | 12801 Bangor, Garfield Heights, OH 44125 | 2017-04-07 |
| 1235670340 | Mike Johanek | Pharmacist | 8333 Rockside Road, Valley View, OH 44125 | 2017-03-09 |
| Find all providers in zip 44125 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245614858 | Nh Zinaida Lebedeva Md LLC | Psychiatry & Neurology | 8020 Birchwood Dr, Chesterland, OH 44026-3056 | 2015-07-13 |
| 1700134095 | Sri Rayani LLC | Psychiatry & Neurology | 462 Pineview Dr, Gallipolis, OH 45631-9038 | 2012-08-17 |
| 1962565408 | James Shackson Md | Psychiatry & Neurology | 9525 Kenwood Rd, Suite 16-382, Cincinnati, OH 45242-6176 | 2006-12-18 |
| 1053411447 | Nathaniel Travis Marvel, Jr. | Psychiatry & Neurology | 143 Lakeview Ct., Loveland, OH 45140 | 2006-09-25 |
| 1841201068 | Lois Sue Freedman | Psychiatry & Neurology | 10701 East Boulevard, Louis Stokes Cleveland Vamc, Cleveland, OH 44106 | 2006-08-11 |
| 1215963087 | Robert Taylor Segraves | Psychiatry & Neurology | 23230 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5446 | 2006-06-24 |
| 1306820493 | Marguerite Maryanna Katchen | Psychiatry & Neurology | 4903 Vine St, Cincinnati, OH 45217-1252 | 2005-12-01 |
| 1598763856 | Babu V Gupta | Psychiatry & Neurology | 3260 Westbourne Dr, Cincinnati, OH 45248-5107 | 2005-07-11 |
| 1316582778 | Geropsych Psychiatry, Ltd | Psychiatry & Neurology | 151 Orchardview Rd Ste 2b, Seven Hills, OH 44131-5836 | 2019-11-08 |
| 1497105563 | Krupa Pathak | Psychiatry & Neurology | 2500 Metrohealth Dr, Cleveland, OH 44109 | 2016-06-20 |
| Find all providers with the same taxonomy | ||||
| City | GARFIELD HEIGHTS |
| Zip Code | 44125 |
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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.