KEVIN W. ROTONDO


Address: 1732 Maple St, Wickliffe, OH 44092-2423
Phone: 4404091317

KEVIN W. ROTONDO (NPI# 1588094148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588094148
Entity Type Individual
Full Name KEVIN W. ROTONDO
Credential PA-C
Practice Address 1732 Maple St
Wickliffe
OH 44092-2423
Mailing Address 1732 Maple St.
Wickliffe
OH 44092
Practice Telephone 4404091317
Mailing Telephone 4404091317
Enumeration Date 2013-11-19
Last Update Date 2013-11-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363AS0400X Physician Assistant
Specialization: Surgical Technologist
50.001499 Physician Assistants & Advanced Practice Nursing Providers
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
50.001499 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1732 MAPLE ST
City WICKLIFFE
State OH
Zip Code 44092-2423

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780070912 Prisma Home Health Home Health 39339 Eucled Ave, Wickliffe, OH 44092 2015-04-14
1245584671 Leah Elaine Hollins Licensed Practical Nurse 1565 Lee Terrace Dr, E8, Wickliffe, OH 44092 2012-11-07
1225381213 Casandra Samantha Gaglione Registered Nurse 2983 Robert St, Wickliffe, OH 44092 2012-10-16
1548528235 Alioune Blondin Diop Driver 27600 Chardon Rd #867, Wickliffe, OH 44092 2012-05-01
1184959348 Steven P. Petti Dentist 29090 Euclid Ave., Wickliffe, OH 44092 2009-10-06
1841478559 Ashley Boggs Specialist/Technologist 28080 Chardon Rd #204, Willoughby Hills, OH 44092 2008-02-05
1659597987 Doris Eliana Cohen Psychologist 1460 Rockefeller Rd, Wickliffe, OH 44092 2007-04-17
1134248982 Christina Terese George Physical Therapist 28080 Chardon Rd, Ste 204, Willoughby Hills, OH 44092 2007-03-29
1659447183 Wilfred Fredrick Fromm Dentist 29010 Chardon Road, Willoughby Hills, OH 44092 2006-11-27
1255412748 Dentistry Inc Dentist 27291 Chardon Rd, Willoughby Hills, OH 44092 2006-10-18
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1508418260 Collin Dees Physician Assistant Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 2019-07-12
1811469968 Cody Tyler Delaney Physician Assistant 1711 27th St Ste 306, Portsmouth, OH 45662-2669 2018-12-28
1861936155 Surgical Fusion, LLC Physician Assistant 605 N High St # 237, Columbus, OH 43215-2024 2016-12-06
1225481690 Rebekah Keesee Physician Assistant 1045 Arundel Ave, Westerville, OH 43081-1188 2016-07-20
1568814382 Kristen Cipolla Physician Assistant 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 2016-07-05
1932560083 Adam Peckinpaugh Physician Assistant 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 2016-03-17
1710348701 Alex Blake Physician Assistant 10743 S State Route 133, Blanchester, OH 45107-9435 2016-03-17
1215319926 Richard Alan Stevenson Physician Assistant 187 Vine St, Fairborn, OH 45324-3324 2015-06-18
1548641038 Matthew Hamley Physician Assistant 2315 Birch Trace Dr, Youngstown, OH 44515-4914 2015-06-10
1376822668 Christopher A Ney Physician Assistant 6365 Winchester Blvd Ste A, Canal Winchester, OH 43110-2069 2011-08-04
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Competitor

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City WICKLIFFE
Zip Code 44092

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Dataset Information

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.

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