DEWAYNE C GREEN (NPI# 1801395496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801395496 |
| Entity Type | Individual |
| Full Name | DEWAYNE C GREEN |
| Practice Address |
41641 N Ridge Rd Ste B Elyria OH 44035-1264 |
| Mailing Address |
19333 Van Aken Blvd Shaker Hts OH 44122-3579 |
| Practice Telephone | 4403247406 |
| Mailing Telephone | 2165137223 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
141205 | OH | Behavioral Health & Social Service Providers |
| Street Address |
41641 N RIDGE RD STE B |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-1264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283830 | Mary Frances Rose | Counselor | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2017-09-07 |
| 1063045201 | Maurice Daniel Wilkes | Case Management | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2020-02-17 |
| 1871090829 | Kristen Lynn Gilbert | Registered Nurse | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2018-04-06 |
| 1033611447 | Andrew Michael Mendez | Counselor | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2018-03-01 |
| 1093221897 | Aracelis Sedonia Bell | Registered Nurse | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2017-12-17 |
| 1427567445 | Fortaleza,llc | Psychiatry & Neurology | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2017-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283830 | Mary Frances Rose | Counselor | 41641 N Ridge Rd Ste B, Elyria, OH 44035-1264 | 2017-09-07 |
| 1033637491 | Erica Lynn George | Counselor | 1131 E Broad St, Elyria, OH 44035-6305 | 2017-09-06 |
| 1588011670 | Linda Heim | Counselor | 102 Kelly Ct, Elyria, OH 44035-8399 | 2016-05-18 |
| 1538396775 | Kara Michele Poth | Counselor | 347 Midway Blvd Ste 200, Elyria, OH 44035-2496 | 2009-06-15 |
| 1427088145 | Mary Margaret Migra | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2006-07-05 |
| 1811944333 | Psychiatric and Psychological Service | Counselor | 750 S Abbe Rd, Elyria, OH 44035-7246 | 2006-05-29 |
| 1417594839 | Heather Barlow | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2019-12-04 |
| 1558903310 | John Northcott | Counselor | 457 Griswold Rd, Elyria, OH 44035-2304 | 2019-10-14 |
| 1174176358 | Brendon Mclellan | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2019-07-17 |
| 1356905160 | Rachel Elizabeth Cwalina | Counselor | 174 Midway Blvd, Elyria, OH 44035-2786 | 2019-04-26 |
| Find all providers in ELYRIA | ||||
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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.