DR. JEROME E STASEK (NPI# 1689642597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689642597 |
Entity Type | Individual |
Full Name | DR. JEROME E STASEK |
Credential | MD |
Practice Address |
473 W 12th Ave Columbus OH 43210-1252 |
Mailing Address |
700 Ackerman Rd Suite 260 Columbus OH 43202-1559 |
Practice Telephone | 6144594418 |
Practice Fax Number | 6142933529 |
Mailing Telephone | 6149473700 |
Enumeration Date | 2006-03-08 |
Last Update Date | 2012-04-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
35.087578 | OH | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35.087578 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2687490 | 05 |
Street Address |
473 W 12TH AVE |
City | COLUMBUS |
State | OH |
Zip Code | 43210-1252 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508869736 | Charles J Hardebeck | Internal Medicine | 473 W 12th Ave, Hlri, 2nd Floor, Columbus, OH 43210-1252 | 2005-05-23 |
1780054635 | Laura Yamokoski | Nurse Practitioner | 473 W 12th Ave, Suite 200, Columbus, OH 43210-1252 | 2015-10-05 |
1588059828 | Sarah Cohen | Internal Medicine | 473 W 12th Ave, Columbus, OH 43210 | 2015-04-03 |
1326468695 | Stella Biyaki Ogake | Internal Medicine | 473 W 12th Ave, Columbus, OH 43210-1252 | 2014-04-24 |
1124465083 | Amanda J. Lyon | Student in an Organized Health Care Education/Training Program | 473 W 12th Ave, Columbus, OH 43210-1252 | 2013-05-31 |
1104269851 | Megan E Conroy | Internal Medicine | 473 W 12th Ave, 201 Dhlri, Columbus, OH 43210-1252 | 2013-04-12 |
1205178332 | Elie Homsy | Internal Medicine | 473 W 12th Ave, Columbus, OH 43210-1252 | 2013-03-27 |
1407167323 | Yihenew Alem Negatu | Internal Medicine | 473 W 12th Ave, Columbus, OH 43210-1252 | 2010-06-24 |
1386897544 | Joseph Stephen Duffy Jr. | Internal Medicine | 473 W 12th Ave, 201 Dhlri, Columbus, OH 43210-1252 | 2008-10-30 |
1467605261 | Osu Internal Medicine, LLC | General Acute Care Hospital | 473 W 12th Ave, Suite 200, Columbus, OH 43210-1252 | 2008-10-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
Find all providers in zip 43210 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144726605 | Venkataramanaiah Pulivarthi | Internal Medicine | 7976 Ravine Run Ln, Columbus, OH 43235-6454 | 2018-04-03 |
1871937730 | Pulmonary Consultants | Internal Medicine | 2045 Centre Stone Court, Columbus, GA 31904 | 2013-04-23 |
1780817288 | Jai Surana | Internal Medicine | 500 18th St Ste A30, Columbus, GA 31901-1535 | 2009-08-31 |
1740449495 | Ehab Bakir Hussein | Internal Medicine | 2760 Airport Dr Ste 120, Columbus, OH 43219-2290 | 2008-06-07 |
1437299617 | Columbus Pulmonary Associates, Inc. | Internal Medicine | 85 Mcnaughten Rd Ste 130, Columbus, OH 43213-5111 | 2007-02-07 |
1073685681 | Harold L Dyer | Internal Medicine | 1132 Hunter Ave, Columbus, OH 43201 | 2006-11-15 |
1871607556 | Jeffrey E. Weiland | Internal Medicine | 2050 Kenny Rd Ste 2200, Columbus, OH 43221 | 2006-08-18 |
1235152273 | Shiva Rahmanian | Internal Medicine | 111 S Grant Ave Fl 2, Columbus, OH 43215-4701 | 2006-07-25 |
1720062805 | Central Ohio Pulmonary Disease Inc | Internal Medicine | 745 West State St, Ste 510, Columbus, OH 43222-1515 | 2005-12-02 |
1619950474 | Joseph H Cunningham | Internal Medicine | 2760 Airport Dr., Suite 120, Columbus, OH 43219 | 2005-11-25 |
Find all providers in COLUMBUS |
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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.