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).
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 |
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 |
Street Address |
1732 MAPLE ST |
City | WICKLIFFE |
State | OH |
Zip Code | 44092-2423 |
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 |
Find all providers in zip 44092 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
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 |
Find all providers with the same taxonomy |
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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.