DOREEN M AGNESE (NPI# 1740247816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740247816 |
| Entity Type | Individual |
| Full Name | DOREEN M AGNESE |
| Credential | MD |
| Practice Address |
1145 Olentangy River Rd Columbus OH 43212-3117 |
| Mailing Address |
700 Ackerman Rd Suite 570 Columbus OH 43202-1559 |
| Practice Telephone | 6142934040 |
| Practice Fax Number | 6142933465 |
| Mailing Telephone | 6142934040 |
| Mailing Fax Number | 6142933277 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
35084548 | OH | Allopathic & Osteopathic Physicians |
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
35084548 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2486920 | 05 |
| Street Address |
1145 OLENTANGY RIVER RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43212-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679565873 | Adele M Lipari | Radiology | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2005-08-16 |
| 1518455898 | Lindsey V. Stanley | Nurse Practitioner | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2018-04-23 |
| 1134641566 | Hayley Renee Cassingham | Genetic Counselor, MS | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2017-07-07 |
| 1851827984 | Amanda Elizabeth Herlihy | Nurse Practitioner | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2017-05-10 |
| 1447786942 | Amber Holbrook | Registered Nurse | 1145 Olentangy River Rd, Attn: Radiation Oncology, Columbus, OH 43212-3117 | 2017-05-04 |
| 1659811982 | Catherine A. Carson | Nurse Practitioner | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2017-03-06 |
| 1295286490 | Dawn R. Denton | Registered Nurse | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2016-10-23 |
| 1710438767 | Erin Holley | Dietitian, Registered | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2016-10-14 |
| 1326598756 | Kellie R. Lenker | Nurse Practitioner | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2016-10-10 |
| 1285183921 | Katherine J. Cline | Registered Nurse | 1145 Olentangy River Rd, 2nd Floor, Columbus, OH 43212-3117 | 2016-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891358156 | Sarah Christine Nyirjesy | Otolaryngology | Eye and Ear Institute, 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2019-04-22 |
| 1336626746 | Zachary Thomas | Chiropractor | 1857 Northwest Blvd., Annex, Columbus, OH 43212 | 2018-07-27 |
| 1336654961 | John Thomas Glacken | Social Worker | 1971 W 5th Ave Ste 2, Columbus, OH 43212 | 2017-12-05 |
| 1649796731 | Alisa Farkas LLC | Social Worker | 1943 W. 5th Ave., Columbus, OH 43212 | 2017-08-21 |
| 1003355900 | Abigail Erin Becker | Pharmacist | 1145 Olentangy River Road, Room 4200, Columbus, OH 43212 | 2017-02-13 |
| 1972959336 | Chen Lin | Otolaryngology | 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2016-05-04 |
| 1679935316 | Antoine Eskander | Otolaryngology | 915 Olentangy River Road, Suite 4000, Osu Eye & Ear Institute, Columbus, OH 43212 | 2016-03-22 |
| 1043619554 | Susan Snodgrass | Marriage & Family Therapist | 1200 W 5th Ave, Ste 105, Columbus, OH 43212 | 2014-08-20 |
| 1275962987 | Shanequa Crawford | Home Health | 1350 W Th Avenue, Suite 14, Columbus, OHIO 43212 | 2013-11-03 |
| 1316283690 | The Ohio State University | General Acute Care Hospital | 915 Olentangy River Road, Suite 2140, Columbus, OH 43212 | 2012-12-14 |
| Find all providers in zip 43212 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962511998 | Bridget A. Oppong | Surgery | 1145 Olentangy River Rd Fl 3, Columbus, OH 43212-3117 | 2006-08-30 |
| 1932152162 | Edward Martin Jr. | Surgery | 300 W. 10th Avenue, Columbus, OH 43210 | 2006-05-18 |
| 1548259492 | Brenda Jeanne Sickle-santanello | Surgery | 170 Northwoods Blvd Ste 210, Columbus, OH 43235-4711 | 2005-10-13 |
| 1982602363 | William Gress Kraybill Jr. | Surgery | 300 W 10th Ave, Columbus, OH 43210-1280 | 2005-07-11 |
| 1124580204 | Jessica Desalvo | Surgery | 5100 W Broad St, Columbus, OH 43228-1607 | 2019-04-05 |
| 1952748261 | Alex Chun Kim | Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2013-05-28 |
| 1881913259 | Joal David Beane | Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2010-05-25 |
| 1144546763 | Jordan M Cloyd | Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2010-04-08 |
| 1275857120 | Aslam Ejaz | Surgery | 2050 Kenny Rd, Columbus, OH 43221 | 2010-03-22 |
| 1154564961 | Samilia Obeng-gyasi | Surgery | 1145 Olentangy River Rd, Columbus, OH 43212-3117 | 2009-04-08 |
| 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.