DR. ABDUL LATIF ITANI (NPI# 1750481255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750481255 |
| Entity Type | Individual |
| Full Name | DR. ABDUL LATIF ITANI |
| Credential | MD |
| Practice Address |
2785 Som Center Rd Willoughby OH 44094-9139 |
| Practice Telephone | 4409755575 |
| Practice Fax Number | 4409440920 |
| Mailing Telephone | 4409755575 |
| Mailing Fax Number | 4409440920 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 035432L | PA | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 350433691 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0408919 | 05 |
| Street Address |
2785 SOM CENTER RD |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-9139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437368156 | Toomas Anton | Neurological Surgery | 2785 Som Center Rd, Willoughby, OH 44094-9139 | 2007-05-21 |
| 1285762583 | Northeastern Ohio Neurosurgical Associates | Neurological Surgery | 2785 Som Center Rd, Willoughby, OH 44094-9139 | 2007-03-01 |
| 1053402057 | Mark E. Holtcamp | Physician Assistant | 2785 Som Center Rd, Willoughby, OH 44094-9139 | 2006-09-27 |
| 1568569358 | Teresa D. Ruch | Neurological Surgery | 2785 Som Center Rd, Willoughby, OH 44094-9139 | 2006-09-20 |
| 1023113842 | Drs. Hill & Thomas Co. | Clinic/Center | 2785 Som Center Rd, Willoughby, OH 44094-9139 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437368156 | Toomas Anton | Neurological Surgery | 2785 Som Center Rd, Willoughby, OH 44094-9139 | 2007-05-21 |
| 1285762583 | Northeastern Ohio Neurosurgical Associates | Neurological Surgery | 2785 Som Center Rd, Willoughby, OH 44094-9139 | 2007-03-01 |
| 1568569358 | Teresa D. Ruch | Neurological Surgery | 2785 Som Center Rd, Willoughby, OH 44094-9139 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972118420 | Vertrae, Inc. | Neurological Surgery | 70 Birch Alley, Beavercreek, OH 45440-1479 | 2020-09-11 |
| 1972121978 | Rabia Tari | Neurological Surgery | 3333 Burnet Ave # Mlc2016, Cincinnati, OH 45229-3026 | 2020-07-07 |
| 1346875812 | Anna Stroud | Neurological Surgery | 393 E Town St Ste 110, Columbus, OH 43215-4741 | 2020-03-05 |
| 1164924114 | Baha'eddin Ahmad Ibrahim Muhsen | Neurological Surgery | 10201 Carnegie Ave, Ca Building, Cleveland, OH 44195 | 2018-03-06 |
| 1548780117 | Daryn Katherine Cass | Neurological Surgery | University of Cincinnati Medical Center 234 St, Cincinnati, OH 45267-0001 | 2017-06-23 |
| 1023565439 | Zanesville Neurology | Neurological Surgery | 211 Downing Dr, Zanesville, OH 43701-4613 | 2016-09-01 |
| 1427504752 | Ranjit Ganguly | Neurological Surgery | 410 W 10th Ave # 10, Columbus, OH 43210-1240 | 2016-08-28 |
| 1306254677 | Key Clinics LLC | Neurological Surgery | 29001 Cedar Rd Ste 103, Lyndhurst, OH 44124-4041 | 2014-07-30 |
| 1417367608 | Key Clinics, LLC | Neurological Surgery | 269 Portland Way S Lbby Office, Galion, OH 44833-2312 | 2014-04-28 |
| 1437585387 | Herbert S. Bell | Neurological Surgery | 5500 Strathaven Dr, Cleveland, OH 44143-1970 | 2013-09-24 |
| Find all providers with the same taxonomy | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.