ELISHA TZVI FREDMAN (NPI# 1740600022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740600022 |
| Entity Type | Individual |
| Full Name | ELISHA TZVI FREDMAN |
| Credential | MD |
| Practice Address |
13207 Chardon Road Ravenna OH 44024 |
| Practice Telephone | 4402856740 |
| Mailing Telephone | 4402856740 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 Metrohealth Dr, Cleveland, OH 441091900 | 2167784486 |
| Street Address |
13207 CHARDON ROAD |
| City | RAVENNA |
| State | OH |
| Zip Code | 44024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
| 1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
| 1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
| 1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
| 1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
| 1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
| 1780935726 | Jennifer R Sensibello | Licensed Practical Nurse | 11360 Sherman Rd, Chardon, OH 44024 | 2012-10-01 |
| Find all providers in zip 44024 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811511710 | Abdel Ruhman Yusuf | Student in an Organized Health Care Education/Training Program | 609 1/2 Walton St, Ravenna, OH 44266-2839 | 2020-06-05 |
| 1063945533 | Christopher Todd Yohn | Student in an Organized Health Care Education/Training Program | 821 Mill Rd, Ravenna, OH 44266-2825 | 2017-04-11 |
| 1235753617 | Anthony J Salem | Student in an Organized Health Care Education/Training Program | 4771 Washington Ave, Ravenna, OH 44266-9631 | 2020-06-02 |
| 1548732258 | Elizabeth Ann Janniello | Student in an Organized Health Care Education/Training Program | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2018-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114195 | Madeline Rose Barnes | Student in an Organized Health Care Education/Training Program | 11322 Wilderness Way Ct, Belle Center, OH 43310-9330 | 2020-11-04 |
| 1073113940 | Chelsea Ann Winner | Student in an Organized Health Care Education/Training Program | 7395 State Route 119, Maria Stein, OH 45860-8717 | 2020-10-29 |
| 1770182578 | Abigail Morgan Naegele | Student in an Organized Health Care Education/Training Program | 9604 County Road 107 Unit 26, Proctorville, OH 45669-8023 | 2020-10-22 |
| 1720687833 | Bethany C Eagle | Student in an Organized Health Care Education/Training Program | 1015 Taylor Rd, Mansfield, OH 44903-7683 | 2020-10-20 |
| 1013515493 | Jonathan Ehrenkrantz | Student in an Organized Health Care Education/Training Program | 5720 Reigart Rd, Fairfield Township, OH 45011-2160 | 2020-10-16 |
| 1205434925 | Madeline Mae Juergens | Student in an Organized Health Care Education/Training Program | 3600 Colonel Glenn Hwy 117 Health Sciences Bldg, Dayton, OH 45435-0001 | 2020-10-14 |
| 1871190546 | Philip Maxwell Wienkamp | Student in an Organized Health Care Education/Training Program | 6194 Oakhaven Dr, Cincinnati, OH 45233-4444 | 2020-10-06 |
| 1922615335 | Ijeoma Osigwe | Student in an Organized Health Care Education/Training Program | 380 Butterfly Gardens Dr Ste 4a, Columbus, OH 43215-7508 | 2020-09-29 |
| 1407463862 | Kim El Haddad | Student in an Organized Health Care Education/Training Program | Cleveland Clinic Main Campus 9500 Euclid Avenue/na-23, Cleveland, OH 44195-0001 | 2020-09-29 |
| 1376150854 | Diana Lynne Warner | Student in an Organized Health Care Education/Training Program | 7663 Fairground Rd, Blanchester, OH 45107-1548 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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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.