ADVANCED CARDIOCARE INC (NPI# 1659748846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659748846 |
Entity Type | Organization |
Organization Name | ADVANCED CARDIOCARE INC |
Practice Address |
755 Boardman Canfield Rd Suite H2 Boardman OH 44512-4300 |
Practice Telephone | 3307262000 |
Practice Fax Number | 3304061613 |
Mailing Telephone | 3307262000 |
Mailing Fax Number | 3304061613 |
Enumeration Date | 2015-08-24 |
Last Update Date | 2015-08-24 |
Authorized Official Name | ATEF S LABIB (PRESIDENT/PROVIDER) |
Authorized Official Telephone | 3307262000 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
35044422 | OH | Allopathic & Osteopathic Physicians |
Street Address |
755 BOARDMAN CANFIELD RD SUITE H2 |
City | BOARDMAN |
State | OH |
Zip Code | 44512-4300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891792115 | Frank Yannucci | Podiatrist | 755 Boardman Canfield Rd, Building F Unit 1, Boardman, OH 44512-4300 | 2005-07-01 |
1770940330 | David Hartman | Physical Therapy Assistant | 755 Boardman Canfield Rd, South Bridge West P1, Boardman, OH 44512-4300 | 2016-01-26 |
1093172868 | Advanced Chiropractic & Rehab, Inc. | Clinic/Center | 755 Boardman Canfield Rd, Suite P-1, Boardman, OH 44512-4300 | 2016-01-25 |
1780092064 | Adam Kagarise | Physical Therapist | 755 Boardman Canfield Rd, Building P Unit 1, Boardman, OH 44512-4300 | 2014-07-30 |
1184041626 | Ohio Naturopathic, LLC | Naturopath | 755 Boardman Canfield Rd, Suite D3, Boardman, OH 44512-4300 | 2014-03-22 |
1972933752 | Mussler Chiropractic & Wellness LLC | Chiropractor | 755 Boardman Canfield Rd, Bldg C2, Boardman, OH 44512-4300 | 2013-11-15 |
1871935221 | Samuel Joseph Lucurell | Massage Therapist | 755 Boardman Canfield Rd, Southbridge West Bld. P Unit 1, Boardman, OH 44512-4300 | 2013-07-26 |
1427398072 | Brent Baisch | Massage Therapist | 755 Boardman Canfield Rd, Suite P1, Boardman, OH 44512-4300 | 2013-02-19 |
1750625596 | Valentina Khoury Dubasik | Acupuncturist | 755 Boardman Canfield Rd, Suite D3, Boardman, OH 44512-4300 | 2012-11-17 |
1518242916 | Michelle Elizabeth Durrant | Audiologist | 755 Boardman Canfield Rd, Suite C1 West, Boardman, OH 44512-4300 | 2011-10-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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1912569781 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Ste 1b, Columbus, OH 43206-2398 | 2019-07-02 |
1093377764 | Tom Kai Ming Wang | Internal Medicine | Cleveland Clinic 9500 Euclid Avenue Na23, Cleveland, OH 44195-0001 | 2019-07-02 |
1316504723 | Olivia Kay Preston | Internal Medicine | 543 Taylor Ave Ste 3002, Columbus, OH 43203-1278 | 2019-05-21 |
1932669181 | United Diagnostic Services LLC | Internal Medicine | 895 Parsons Ave Unit B Ste 1, Columbus, OH 43206-2398 | 2019-03-23 |
1982168100 | Optimum Cardiology Inc | Internal Medicine | 4825 Higbee Ave Nw Ste 102, Canton, OH 44718-2567 | 2019-01-23 |
1053859124 | Andrew Michael Dominic Crean | Internal Medicine | Division of Cardiovascular Health And, 231 Albert Sabin Way, Cincinnati, OH 45267-0001 | 2017-02-08 |
1306393541 | Lima Memorial Professional Corporation | Internal Medicine | 140 Fox Rd Ste 103 1/2, Van Wert, OH 45891-3400 | 2016-09-06 |
1699221234 | Hatem Mowafy I | Internal Medicine | 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 | 2016-09-01 |
1720432693 | Radoslav Zinoviev | Internal Medicine | 9500 Euclid Ave Rm J3-6, Cleveland, OH 44195-3220 | 2016-04-18 |
1053773838 | Dayton Springfield Heart and Vascular Medicine, LLC | Internal Medicine | 7111 N. Main St., Suite 50, Dayton, OH 45415-2558 | 2016-03-22 |
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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.