OHIOGUIDESTONE (NPI# 1609123728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609123728 |
| Entity Type | Organization |
| Organization Name | OHIOGUIDESTONE |
| Other Organization Name | GUIDESTONE |
| Practice Address |
202 E Bagley Rd Berea OH 44017-2058 |
| Mailing Address |
434 Eastland Road Berea OH 44017-2058 |
| Practice Telephone | 4402608379 |
| Mailing Telephone | 4402608327 |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | MANDY JACKSON (BILLING SUPERVISOR) |
| Authorized Official Telephone | 4402608328 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Guidestone | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720341175 | Ohioguidestone | Community/Behavioral Health | 25701 N Lakeland Blvd, #403, Euclid, OH 44132-2450 | 2012-06-20 |
| 1174680557 | Ohioguidestone | Community/Behavioral Health | 202 East Bagley Road, Berea, OH 44017-2058 | 2007-01-03 |
| 1831438035 | Ohioguidestone | Community/Behavioral Health | 202 E Bagley Rd, Berea, OH 44017-2058 | 2013-02-07 |
| 1598010233 | Ohioguidestone | Community/Behavioral Health | 3500 Carnegie Avenue, Cleveland, OH 44115-2651 | 2012-07-18 |
| 1861756678 | Ohioguidestone | Community/Behavioral Health | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2012-06-26 |
| 1295096758 | Ohioguidestone | Community/Behavioral Health | 202 E Bagley Rd, Berea, OH 44017-2058 | 2012-05-31 |
| 1346501814 | Ohioguidestone | Community/Behavioral Health | 202 E Bagley Rd, Berea, OH 44017-2058 | 2012-05-31 |
| 1033476403 | Ohioguidestone | Community/Behavioral Health | 303 E Bagley Rd, Berea, OH 44017-2040 | 2012-04-23 |
| 1770857864 | Ohioguidestone | Health Maintenance Organization | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2012-03-07 |
| 1447524673 | Ohioguidestone | Exclusive Provider Organization | 202 E Bagley Rd, Berea, OH 44017-2058 | 2012-03-06 |
| Street Address |
202 E BAGLEY RD |
| City | BEREA |
| State | OH |
| Zip Code | 44017-2058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063409787 | Michelle Monica Hartis | Social Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2005-09-29 |
| 1083214738 | Jessica Hucks | Community Health Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-10-30 |
| 1265031421 | Larissa Giese | Community Health Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-10-20 |
| 1538767744 | Kelly Howard | Registered Nurse | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-10-12 |
| 1760089577 | Meghan Leah Wharton | Community Health Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-10-05 |
| 1215543509 | Kevin P James | Community Health Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-09-22 |
| 1023624624 | Horace Joel Whitworth | Community Health Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-09-18 |
| 1790391605 | Angliette Drake | Community Health Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-09-17 |
| 1093321838 | Charlene Jackson | Community Health Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-09-17 |
| 1326669086 | Dejah M Sprouse | Community Health Worker | 202 E Bagley Rd, Berea, OH 44017-2058 | 2020-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632759 | Faseeha Raza | Student in an Organized Health Care Education/Training Program | Baldwin Wallace University Physician Assistant Program, 201 Front Street, Berea, OH 44017 | 2020-05-28 |
| 1851885412 | Monica Lynne Mcfarland | Occupational Therapy Assistant | 570 North Rocky River Drive, Berea, OH 44017 | 2018-06-18 |
| 1700301207 | Cherelle Scott | Counselor | 398 W Bagley Road Ste, Suite 216, Berea, OH 44017 | 2017-08-07 |
| 1780042457 | Linda Lou Cummings | Social Worker | 202 E. Bagley Road, Berea, OH 44017 | 2016-02-09 |
| 1760827042 | Pathways Hospice LLC | Hospice Care, Community Based | 885 W. Bagley Road, Berea, OH 44017 | 2013-05-01 |
| 1336457134 | Mary Elizabeth Italiano-burke | Licensed Practical Nurse | 90 Emerson Dr., #11009, Berea, OH 44017 | 2010-09-15 |
| 1720260979 | Cooperative Medical Health Care Corporation Professional Association | Mechanotherapist | 165 W. Bagley Rd., Berea, OH 44017 | 2007-11-29 |
| 1326230616 | Marilyn Sue George | Psychoanalyst | 187 Seminary St, Berea, OH 44017 | 2007-08-10 |
| 1437371556 | Michael Charles Powell | Registered Nurse | 501 Nobottom Rd, Berea, OH 44017 | 2007-05-02 |
| 1538381439 | Paula Davis Fultz | Counselor | 303 E. Bagley Road, Berea, OH 44017 | 2007-05-02 |
| Find all providers in zip 44017 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639598808 | Carrie Cuffman | Pediatrics | 857 Graham Rd, Cuyahoga Falls, OH 44221-1170 | 2014-04-15 |
| 1780731794 | Patricia Mary Manning-courtney | Pediatrics | 3430 Burnet Ave., Mlc 4002, Cincinnati, OH 45229-3026 | 2007-01-04 |
| 1407899511 | Karen J Mason | Pediatrics | 3333 Burnet Ave Ml 4002, Cincinnati, OH 45229-3026 | 2006-06-14 |
| 1437104288 | Bruce A Pasch | Pediatrics | 1074 Patterson Rd, Kettering, OH 45420-1522 | 2006-05-23 |
| 1598727208 | Catherine I Scherer | Pediatrics | 10524 Euclid Ave Ste 3150, Cleveland, OH 44106 | 2006-04-06 |
| 1487130738 | Sandra Kay Bennett | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2018-07-18 |
| 1578930780 | Erin Lungren | Pediatrics | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2015-08-24 |
| 1114328267 | Manoj Nair | Pediatrics | 3430 Burnet Ave., Ml 4002, Cincinnati, OH 45229-3026 | 2014-09-09 |
| 1881953404 | Lindsay Rae Bartram | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2012-05-16 |
| 1134495872 | Jacqueline Mary Branch | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2012-03-27 |
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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.