ST.RITA'S (NPI# 1770703910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770703910 |
| Entity Type | Organization |
| Organization Name | ST.RITA'S |
| Other Organization Name | NEW CENTURY PEDIATRICS GROUP |
| Practice Address |
730 W Market St Lima OH 45801-4602 |
| Mailing Address |
Po Box 931325 Cleveland OH 44193-1517 |
| Practice Telephone | 4192269585 |
| Mailing Telephone | 4199965114 |
| Mailing Fax Number | 4192269831 |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRIAN SMITH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 41922733661 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0809450 | 05 |
| Other Name | Type Code |
|---|---|
| New Century Pediatrics Group | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST RITA'S CHURCH INC | 1008 Maple Dr Ste 1, Webster, NY 14580-1726 |
| New York State Corporations | ST. RITA'S ASSOCIATES PRIVATE PLACEMENT L.P. | Goodyear, 1800 One M&t Plaza, Buffalo, Ny 14203 |
| Oregon Corporations, Companies and Business Names | ST. RITA'S RETREAT FOUNDATION | 10800 Blackwell, Central Point, OR 97502 |
| Oregon Corporations, Companies and Business Names | ST.RITA'S TRAILS WITH RAILS, INC. | 19100 God's Valley Road, NEHALEM OR |
| Street Address |
730 W MARKET ST |
| City | LIMA |
| State | OH |
| Zip Code | 45801-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844782 | Vincent Lee Yahl | Pharmacist | 730 W Market St, Attn: Pharmacy, Lima, OH 45801-4602 | 2005-07-11 |
| 1417562588 | Kendall Germann | Pharmacist | 730 W Market St, Lima, OH 45801-4602 | 2020-09-15 |
| 1053926121 | Libby Nicole Stabler | Pharmacist | 730 W Market St, Lima, OH 45801-4602 | 2020-09-15 |
| 1932717725 | Jordan Wade | Nurse Practitioner | 730 W Market St, Lima, OH 45801-4602 | 2020-07-17 |
| 1942828173 | Krista Leigh Shepherd | Pharmacist | 730 W Market St, Lima, OH 45801-4602 | 2020-07-14 |
| 1588283006 | Adnan Ejupovic | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4667 | 2020-04-14 |
| 1932728490 | John Paul Sevcik | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-14 |
| 1396374575 | Jarred Jones | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-08 |
| 1164051355 | Lisa Mary Tran | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4602 | 2020-04-08 |
| 1922637479 | Vitaliy Kovalevych | Student in an Organized Health Care Education/Training Program | 730 W Market St, Lima, OH 45801-4667 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839720 | Candie Sue Dray | Counselor | 311 Market St., 311 Market St, Lima, OH 45801 | 2017-09-01 |
| 1962945105 | Alisha Harper | Social Worker | 200 E. High St. 2nd Floor, Lima, OH 45801 | 2016-11-21 |
| 1841740156 | Bullock Home Care | Home Health | 128 West High Street, Lima, OH 45801 | 2016-10-11 |
| 1952787707 | Brenda Tran Hoang | Pharmacist | 730 W Market St., Lima, OH 45801 | 2015-08-04 |
| 1134511918 | Gbenga Balogun | Registered Nurse | 1225 Summit Street, Lima, OH 45801 | 2015-03-03 |
| 1588802763 | Illness Prevention and Holistic Health Center | Specialist | 545 West Market Street, Suite 306, Lima, OH 45801 | 2009-01-27 |
| 1033302237 | Custom Staffing Lima Inc | Home Health | 712 W North St, Lima, OH 45801 | 2007-08-21 |
| 1316167463 | Ear Nose and Throat Specialists of West Central Ohio | Otolaryngology | 770 West High St, Suite 480, Lima, OH 45801 | 2007-04-30 |
| 1598886566 | Zita Marie Duffy | Social Worker | 658 W Market St Ste 101, Lima, OH 45801 | 2007-04-03 |
| 1487787875 | Steve C Knapke | Specialist/Technologist | 730 West Market St., Lima, OH 45801 | 2007-03-14 |
| Find all providers in zip 45801 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942256755 | Shama A Amin | Pediatrics | 830 W High St, Suite 307, Lima, OH 45801-3971 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043553001 | Nathan Scott Jamieson | Pediatrics | Nch 700 Children's Drive, Columbus, OH 43205 | 2013-03-28 |
| 1104199884 | Roy M Kulick | Pediatrics | 529 Cochise Ct, Cincinnati, OH 45215-2519 | 2012-02-11 |
| 1073848321 | Dayton Children's Hospital | Pediatrics | 3333 West Tech Road, Miamisburg, OH 45342 | 2009-10-05 |
| 1689854051 | Advanced Pem Care | Pediatrics | 3577 N Shore Dr, Akron, OH 44333-8331 | 2007-11-13 |
| 1518185651 | Judith C Bausher | Pediatrics | 2093 Beech Grove Dr, Cincinnati, OH 45233-4915 | 2007-04-23 |
| 1962547935 | Richard T Strait | Pediatrics | 3333 W Tech Rd, Miamisburg, OH 45342-0955 | 2007-02-20 |
| 1811044167 | Scott M Bouton | Pediatrics | 11000 Euclid Ave, Cleveland, OH 44106-1714 | 2007-01-05 |
| 1609882125 | Seema R Bhatt | Pediatrics | 3333 Burnet Ave., Ml 2008, Cincinnati, OH 45229-3039 | 2006-08-01 |
| 1841284247 | John L Fortney | Pediatrics | 4439 State Route 159, Ste G10, Chillicothe, OH 45601-8207 | 2005-08-31 |
| 1952301715 | David J Sansoterra | Pediatrics | 6505 Market St, Boardman, OH 44512-3457 | 2005-07-22 |
| 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.