HERODINA IBANEZ LU


Address: 1 Elizabeth Pl Nwb Ste 15, Dayton, OH 45417-3445
Phone: 9378134404

HERODINA IBANEZ LU (NPI# 1720542509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720542509
Entity Type Individual
Full Name HERODINA IBANEZ LU
Credential PA-C
Practice Address 1 Elizabeth Pl Nwb Ste 15
Dayton
OH 45417-3445
Mailing Address 428 Windsor Park Dr
Centerville
OH 45459-4111
Practice Telephone 9378134404
Practice Fax Number 9379389131
Mailing Telephone 9378297562
Enumeration Date 2019-01-25
Last Update Date 2019-05-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 50.005687RX OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1 ELIZABETH PL NWB STE 15
City DAYTON
State OH
Zip Code 45417-3445

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891329504 Kanika Crowder Home Health Aide 5964 Hoover Ave, Dayton, OH 45417 2020-03-03
1427510510 Michael S Hatesohl Student in an Organized Health Care Education/Training Program 627 South Edwin C. Moses Blvd., East Medical Plaza, 1st Floor, Dayton, OH 45417 2019-04-05
1205313350 Latonda T Brewer Home Health Aide 3900 Cone Ct, Dayton, OH 45417 2018-07-22
1205326048 Diane Fillmore Case Manager/Care Coordinator 1818 West Main Street, Dayton, OH 45417 2018-05-17
1295222941 Zainab Saherwala Student in an Organized Health Care Education/Training Program 627 S. Edwin C. Moses, East Medical Plaza, 1st Floor, Dayton, OH 45417 2018-04-18
1013430123 Bridgette Elizabeth Quinlin Counselor 4104 Germantown St, Dayton, OH 45417 2017-07-20
1083144679 Tadesha Marie Gay Licensed Practical Nurse 4748 Ericson Ave, Dayton, OH 45417 2017-06-15
1386180099 Bio-medical Applications of Ohio, Inc. Clinic/Center 821 S Edwin C Moses Blvd, Dayton, OH 45417 2017-01-19
1770039760 Jamie E Denlinger Social Worker 1 Elizabeth Pl Fl 3, Dayton, OH 45417 2016-08-30
1780069823 Care4us Behavioral Health Center, LLC Community/Behavioral Health 1 Elizabeth Place, Ste 1170, Dayton, OH 45417 2015-07-29
Find all providers in zip 45417

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861091241 Beau Webb Physician Assistant 6017 Cruxten Dr, Dayton, OH 45424-3702 2020-10-18
1043838782 Marie Therese Mualla Oram Physician Assistant 204 Sears St Apt 518, Dayton, OH 45402-1573 2020-07-09
1427585819 Mita Morar Physician Assistant 938 Olde Sterling Way, Dayton, OH 45459-3100 2017-05-16
1306394275 Danielle Elizabeth Tirjer Cleary Physician Assistant 320 Judith Dr, Dayton, OH 45429-5306 2016-09-20
1831555234 Lisa Byers Physician Assistant 7980 N Main St, Dayton, OH 45415-2328 2016-01-14
1205205358 Kelby Snorf Physician Assistant 30 E Apple Street, Suite 3300, Dayton, OH 45409 2015-09-18
1104201730 Dominique Hunt Physician Assistant 5300 Far Hills Ave Ste 300, Dayton, OH 45429-2381 2015-07-24
1285025957 Holly Griffin Physician Assistant 4340 Clyo Rd, Dayton, OH 45459-7000 2015-02-16
1073885216 Shawn Breeding Physician Assistant 627 Edwin C. Moses Blvd, Suite K, Dayton, OH 45417-3474 2012-02-03
1750666970 Keene Wilson Bryant Physician Assistant 30 E Apple St Ste 220, Dayton, OH 45409-2939 2011-10-19
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45417

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Dataset Information

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.

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