RAQUEL GRANT VENABLE (NPI# 1790958510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790958510 |
| Entity Type | Individual |
| Full Name | RAQUEL GRANT VENABLE |
| Credential | PA-C |
| Practice Address |
578 N Leavitt Rd Amherst OH 44001-1131 |
| Mailing Address |
Po Box 636643 Cincinnati OH 45263-6461 |
| Practice Telephone | 4409885226 |
| Practice Fax Number | 4409885645 |
| Mailing Telephone | 4409893801 |
| Mailing Fax Number | 4409600264 |
| Enumeration Date | 2008-04-13 |
| Last Update Date | 2014-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50001602 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3025372 | 05 |
| Street Address |
578 N LEAVITT RD |
| City | AMHERST |
| State | OH |
| Zip Code | 44001-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023095726 | James K Matheson | Obstetrics & Gynecology | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2005-12-23 |
| 1467916536 | Joanna Lynn Ornelas | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2019-01-23 |
| 1689149189 | Heather Ann Bruderer | Advanced Practice Midwife | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2018-10-10 |
| 1184107336 | Luke D Nath | Physician Assistant | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2018-09-13 |
| 1710410444 | Christopher Scott Smith | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-04-10 |
| 1255872974 | Kathryne Volpe-bates | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2017-03-14 |
| 1992107338 | Stephanie Reynolds | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2014-09-17 |
| 1508275520 | Joy Johnson | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2014-08-04 |
| 1609113133 | Lisa Marie Dials | Clinical Nurse Specialist | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2013-01-03 |
| 1881831311 | Kathleen Marie Malear | Nurse Practitioner | 578 N Leavitt Rd, Amherst, OH 44001-1131 | 2009-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161337 | Amanda J. Orosz | Homemaker | 420 S. Main St, Amherst, OH 44001 | 2020-10-14 |
| 1760089460 | Michelle Dawn Miller | Homemaker | 9932 Quarry Rd., Amherst, OH 44001 | 2020-10-06 |
| 1245707942 | Kaylie Marie Stamco | Physician Assistant | 609 Eastpointe Ct, Amherst, OH 44001 | 2018-10-31 |
| 1538684758 | Randi Lynn Cecil | Nurse's Aide | 1521 Weaver Dr., Amherst, OH 44001 | 2017-08-09 |
| 1801252663 | Briana Violand | Lactation Consultant, Non-RN | 780 N Woodhill Dr, Amherst, OH 44001 | 2016-01-10 |
| 1225396823 | Christina Ann Zarate Kolp | Family Medicine | 254 Cleveland St, Suite 101, Amherst, OH 44001 | 2012-05-02 |
| 1841590494 | Brenda Kay Keller | Social Worker | 48395 Cooper Foster Park Road, Amherst, OH 44001 | 2010-10-29 |
| 1417289083 | Assisted Living Services. Inc | Assisted Living Facility | 175 North Lake Street, Amherst, OH 44001 | 2010-02-08 |
| 1366697963 | Spectrum of Psychiatric and Psychological Services | Clinic/Center | 556 N. Leavitt Rd., Amherst, OH 44001 | 2008-11-24 |
| 1336397199 | Michael A Musengo | Dentist | 221 Church St., Amherst, OH 44001 | 2008-09-05 |
| Find all providers in zip 44001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245707942 | Kaylie Marie Stamco | Physician Assistant | 609 Eastpointe Ct, Amherst, OH 44001 | 2018-10-31 |
| 1174511778 | Lisa Suzanne Lewis | Physician Assistant | 4949 Harlem Rd, University Orthopaedics, Amherst, NY 14226-2500 | 2005-10-10 |
| 1932197514 | Carol E Calhoun | Physician Assistant | 1185 Sweet Home Rd, Amherst, NY 14226-1018 | 2005-10-08 |
| 1396398251 | Victoria M Lucas | Physician Assistant | 29b Cottage St, Amherst, MA 01002-1206 | 2019-07-19 |
| 1508428921 | Danielle Taylor | Physician Assistant | 3980a Sheridan Dr Ste 200, Amherst, NY 14226-1741 | 2019-07-05 |
| 1669939849 | John J Slisz | Physician Assistant | 3980a Sheridan Dr Ste 200, Amherst, NY 14226-1741 | 2019-02-25 |
| 1841776457 | Carly Kaye Domes | Physician Assistant | 40 George Karl Blvd, Amherst, NY 14221-7183 | 2018-07-17 |
| 1912458217 | Jenna Nicole Gigliotti | Physician Assistant | 31 Hall Dr, Amherst Medical Center, Amherst, MA 01002-2751 | 2016-10-21 |
| 1639528458 | Melitta Mendonca | Physician Assistant | 4979 Harlem Rd, Amherst, NY 14226-2547 | 2016-06-13 |
| 1225482151 | Kearsten Howe Ball | Physician Assistant | 4979 Harlem Rd, Suite 1, Amherst, NY 14226-2547 | 2016-04-18 |
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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.