PAUL HOMITZ-DANIELS (NPI# 1679938500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679938500 |
Entity Type | Individual |
Full Name | PAUL HOMITZ-DANIELS |
Credential | AGNP-C |
Practice Address |
8701 Mentor Ave Mentor OH 44060-6103 |
Mailing Address |
10337 Covington Ln Twinsburg OH 44087-2673 |
Practice Telephone | 4402660770 |
Mailing Telephone | 3308813246 |
Enumeration Date | 2015-12-18 |
Last Update Date | 2016-02-11 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 365924 | OH | Nursing Service Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AG0116113 | OH | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
8701 MENTOR AVE |
City | MENTOR |
State | OH |
Zip Code | 44060-6103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144293267 | Bahman Yamini Sharif | Psychiatry & Neurology | 8701 Mentor Ave, Mentor, OH 44060 | 2006-02-09 |
1306317623 | Yiannoula Sarris | Counselor | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2018-12-14 |
1982174702 | Natalie Grandy | Psychologist | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2018-12-05 |
1609352277 | Staci Tessmer | Counselor | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2018-07-17 |
1174078638 | Jenniviere Homitz-daniels | Nurse Practitioner | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2016-08-24 |
1154790418 | Ryan Mekota | Clinical Neuropsychologist | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2015-09-16 |
1649653973 | Justin L Monty | Social Worker | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2015-07-06 |
1669868006 | Jude Chamberlain | Psychologist | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2015-04-13 |
1578965109 | Anthony Mcmahon | Psychologist | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2014-09-26 |
1275821373 | Douglas E Klier | Registered Nurse | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2011-07-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
Find all providers in zip 44060 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619389277 | Audrey Ann Miller | Nurse Practitioner | 7487 Button Rd, Mentor, OH 44060-6734 | 2014-05-29 |
1326349788 | Stephanie Gale Winterer | Nurse Practitioner | 8300 Tyler Blvd Ste 300, Mentor, OH 44060-4251 | 2010-11-16 |
1518921949 | Heidi Hazelton Morrison | Nurse Practitioner | 6580 Newhouse Ct, Mentor, OH 44060-4150 | 2006-04-13 |
1811951262 | Anne E Fisher | Nurse Practitioner | 5301 E Heisley Rd, Mentor, OH 44060 | 2006-04-13 |
1649812405 | Nicole E Petgrave | Nurse Practitioner | 8200 Mentor Hills Dr, Mentor, OH 44060-7861 | 2019-10-14 |
1942842844 | Megan Staff | Nurse Practitioner | 8587 East Ave, Mentor, OH 44060-4301 | 2019-10-11 |
1407256696 | Meghan Lou Ilg | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2014-08-26 |
1871910406 | Carli A Carnish | Nurse Practitioner | 5301 E Heisley Rd, Mentor, OH 44060-1743 | 2014-03-20 |
1154769925 | Jasmine Johnson | Nurse Practitioner | 7350 Industrial Park Blvd, Mentor, OH 44060-5318 | 2013-06-13 |
1699113373 | Debbie Dubeansky | Nurse Practitioner | 9485 Mentor Ave Ste 3, Mentor, OH 44060-8711 | 2013-06-04 |
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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.