SAMANTHA JO LORUSSO (NPI# 1780946731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780946731 |
| Entity Type | Individual |
| Full Name | SAMANTHA JO LORUSSO |
| Credential | M.D. |
| Practice Address |
543 Taylor Ave Ste 1100 Columbus OH 43203-1278 |
| Mailing Address |
700 Ackerman Rd Ste 570 Columbus OH 43202-1579 |
| Practice Telephone | 6142934969 |
| Practice Fax Number | 6142936111 |
| Mailing Telephone | 6142934969 |
| Mailing Fax Number | 6142936111 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2018-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35128493 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0231078 | 05 |
| Street Address |
543 TAYLOR AVE STE 1100 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43203-1278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
| 1518510155 | Michael Vilensky | Psychologist | 1441 Phale D Hale Drive, Columbus, OH 43203 | 2019-07-23 |
| 1750845160 | Bianca Bell | Counselor | 1223 Mt Vernon Ave, Columbus, OH 43203 | 2019-01-30 |
| 1902323710 | Anitra Gripper | Home Health | 442 N. Garfield Avenue, Columbus, OH 43203 | 2017-08-23 |
| 1710418900 | Sherrie Cathey | Licensed Practical Nurse | 521 Sawyer Blvd #906, Columbus, OH 43203 | 2017-03-21 |
| 1710341490 | Ann-kathrin Eisfeld | Student in an Organized Health Care Education/Training Program | 1276 Eastwood Ave, Columbus, OH 43203 | 2016-04-08 |
| 1194140921 | Chante Meadows, LLC | Community/Behavioral Health | 1000 Atcheson Street, Columbus, OHIO 43203 | 2014-03-03 |
| 1467772368 | Courtney Collins | Surgery | 181 Taylor Ave Ste 1102, Columbus, OH 43203 | 2010-06-03 |
| 1437203080 | Debra R Jones | Psychiatry & Neurology | 1620 East Broad Street, Suite 109, Columbus, OH 43203 | 2007-01-22 |
| 1841397296 | Daniel Kenneth Mcclincy | Physician Assistant | 543 Taylor Ave., Vaopc, Columbus, OH 43203 | 2006-09-20 |
| Find all providers in zip 43203 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174059174 | Padet Wattanasarn | Psychiatry & Neurology | 1070 Circle On The Grn, Columbus, OH 43235-1211 | 2017-05-11 |
| 1184930133 | Appaji Rayi | Psychiatry & Neurology | 395 W 12th Ave Fl 7, Columbus, OH 43210 | 2010-08-27 |
| 1760641740 | Aaron Lee Boster | Psychiatry & Neurology | 8000 Ravines Edge Ct Ste 200, Columbus, OH 43235-5422 | 2008-06-05 |
| 1740489566 | Neurological Associates, Inc. | Psychiatry & Neurology | 974 Bethel Rd Ste C, Columbus, OH 43214-2467 | 2007-07-12 |
| 1649488586 | Shuang Chen | Psychiatry & Neurology | 4551 Lanercost Way, Columbus, OH 43220-2916 | 2007-05-21 |
| 1538222609 | George Wesley Paulson | Psychiatry & Neurology | 3957 Lytham Ct, Columbus, OH 43220-4848 | 2006-12-19 |
| 1740355486 | Brien John Smith | Psychiatry & Neurology | 3555 Olentangy River Rd Ste 2002, Columbus, OH 43214 | 2006-11-21 |
| 1144304064 | Maria Kataki | Psychiatry & Neurology | 2050 Kenny Rd Fl 3, Columbus, OH 43221-3502 | 2006-10-25 |
| 1205910502 | Douglas W. Scharre | Psychiatry & Neurology | 2050 Kenny Rd Fl 7, Columbus, OH 43221-3502 | 2006-10-24 |
| 1396783965 | Gerald S Steiman | Psychiatry & Neurology | 5150 E Main St, Suite 100, Columbus, OH 43213-2441 | 2006-06-03 |
| 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.