DR. ANTHONY DEAN AGRA (NPI# 1649279373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649279373 |
| Entity Type | Individual |
| Full Name | DR. ANTHONY DEAN AGRA |
| Credential | M.D. |
| Practice Address |
547 E 11th Ave Columbus OH 43211-2603 |
| Practice Telephone | 6142244506 |
| Practice Fax Number | 6142910118 |
| Mailing Telephone | 6142244506 |
| Mailing Fax Number | 6142910118 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
35073306 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 35-073306 | OH | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2072206 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 745 W State St, Suite 520, Columbus, OH 432221515 | 6142244200 | 6142244207 |
| Street Address |
547 E 11TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43211-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447883 | Katie Ann Sewell | Registered Nurse | 547 E 11th Ave, Columbus, OH 43211-2603 | 2020-11-03 |
| 1447874748 | Shawn Allen Farkas | Counselor | 547 E 11th Ave, Columbus, OH 43211-2603 | 2020-06-02 |
| 1497398291 | Erika Paige Miller | Registered Nurse | 547 E 11th Ave, Columbus, OH 43211-2603 | 2019-10-24 |
| 1407416027 | Toney J. Rothwell | Registered Nurse | 547 E 11th Ave, Columbus, OH 43211-2603 | 2019-06-17 |
| 1760949580 | Toi Lynn Mccarroll | Counselor | 547 E 11th Ave, Columbus, OH 43211-2603 | 2019-02-28 |
| 1467918979 | Megan Kathleen Roesch | Social Worker | 547 E 11th Ave, Columbus, OH 43211-2603 | 2019-02-20 |
| 1770047409 | Homer Mcduffie Jr. | Counselor | 547 E 11th Ave, Columbus, OH 43211-2603 | 2019-01-28 |
| 1740758739 | Kyle Richard Chambers | Counselor | 547 E 11th Ave, Columbus, OH 43211-2603 | 2018-11-07 |
| 1891263802 | Tonja Lynne Odenweller | Registered Nurse | 547 E 11th Ave, Columbus, OH 43211-2603 | 2018-11-07 |
| 1770051914 | Barbara Ann Brake | Licensed Practical Nurse | 547 E 11th Ave, Columbus, OH 43211-2603 | 2018-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851751317 | Brittany A Flora | Social Worker | 2440 Dawnlight Avenue, Columbus, OH 43211 | 2016-02-26 |
| 1003289240 | Akialah Haynes | Specialist | 1768 Cleveland Ave, Columbus, OH 43211 | 2015-11-10 |
| 1477955805 | Geraldine Hopkins | Home Health Aide | 2382 Marcia Dr., Columbus, OH 43211 | 2014-09-17 |
| 1932460284 | Moses Moiba | Home Health Aide | 2110 Homestead Dr, Columbus, OH 43211 | 2012-06-04 |
| 1912237298 | Rhonte Latrice Alexander | Registered Nurse | 2703 Clubhouse Dr., Columbus, OH 43211 | 2010-01-08 |
| 1982811030 | Patrick Donald Murphy I | Contractor | 2205 Medina, Columbus, OH 43211 | 2007-05-17 |
| 1053449926 | Project Linden, Inc. | Community/Behavioral Health | 1410 Cleveland Ave., Suite #2, Columbus, OH 43211 | 2007-03-01 |
| 1124180062 | Chester Ronald Corbitt | Dentist | 1598 Cleveland Ave, Columbus, OH 43211 | 2006-12-15 |
| 1861418295 | Annette P Hilaman | Dentist | 2345 Cleveland Ave, Columbus, OH 43211 | 2006-07-15 |
| 1023065703 | Maplewood Medical Center, Inc | Family Medicine | 2052 Cleveland Ave, Columbus, OH 43211 | 2006-05-28 |
| Find all providers in zip 43211 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
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|---|---|---|---|---|
| 1558800193 | Cleanslate Medical Group of Ohio LLC | Internal Medicine | 4488 W Broad St Ste 3, Columbus, OH 43228-5610 | 2017-02-15 |
| 1568913283 | Highlife Addiction Medicine and Counseling LLC | Internal Medicine | 5925 Cleveland Ave, Suite C, Columbus, OH 43231-2208 | 2016-10-18 |
| 1801262118 | Jlh Clinical Services | Internal Medicine | 5925 Cleveland Ave, Columbus, OH 43231-2208 | 2015-08-20 |
| 1396148375 | Addiction Angels of America, LLC | Internal Medicine | 4889 Sinclair Rd, Suite 111, Columbus, OH 43229-5432 | 2014-10-03 |
| 1811328594 | Poel, Inc. | Internal Medicine | 1120 Polaris Pkwy, Columbus, OH 43240-4042 | 2013-12-06 |
| 1275964348 | Poel, Inc. | Internal Medicine | 1430 S High St, Columbus, OH 43207-1045 | 2013-11-27 |
| 1598704710 | Tom H Pepper | Internal Medicine | 1492 E Broad St, Columbus, OH 43205-1546 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861916330 | First Horizon Solutions, LLC | Internal Medicine | 3730 Tabs Dr Ste 102, Uniontown, OH 44685-9562 | 2017-07-27 |
| 1841238094 | Christopher T. Meyer | Internal Medicine | 75 Hospital Dr Ste 350, Athens, OH 45701-2867 | 2006-06-02 |
| 1417933490 | James Frederick Guenther | Internal Medicine | 1319 E Main St, Lancaster, OH 43130-4005 | 2005-12-21 |
| 1528051661 | Cynthia L Brown | Internal Medicine | 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 | 2005-08-24 |
| 1639170509 | Patrick Bruno | Internal Medicine | 3535 Lee Rd, Shaker Heights, OH 44120-5122 | 2005-08-02 |
| 1245233345 | Parag J Patel | Internal Medicine | 446 Morgan St, Cincinnati, OH 45206-2348 | 2005-05-23 |
| 1790382752 | Keyona Shine | Internal Medicine | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2020-10-02 |
| 1902413677 | Stacey Whitesel | Internal Medicine | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2020-09-28 |
| 1184158743 | Hope Recovery Center LLC | Internal Medicine | 387 County Line Rd W, Westerville, OH 43082-6080 | 2017-04-20 |
| 1558807610 | R Health Matters LLC | Internal Medicine | 18 Grace Dr, Powell, OH 43065-8466 | 2017-01-13 |
| 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.