DR. SHARON SANBORN WAGAMON (NPI# 1811107683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811107683 |
| Entity Type | Individual |
| Full Name | DR. SHARON SANBORN WAGAMON |
| Other Name | SHARON LYNN SANBORN |
| Credential | MD |
| Practice Address |
835 Southwestern Run Youngstown OH 44514-3688 |
| Mailing Address |
14030 Nash Rd Burton OH 44021-9613 |
| Practice Telephone | 3303181100 |
| Practice Fax Number | 3303181111 |
| Mailing Telephone | 3307871256 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
57.010919 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2838317 | 05 |
| Street Address |
835 SOUTHWESTERN RUN |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44514-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810847 | Masud R Bhatti | Internal Medicine | 835 Southwestern Run, Youngstown, OH 44514-3688 | 2005-06-09 |
| 1790397388 | Brittney L Ridgway | Nurse Practitioner | 835 Southwestern Run, Youngstown, OH 44514-3688 | 2020-08-17 |
| 1447506563 | Kimberly Hildebrand | Nurse Practitioner | 835 Southwestern Run, Youngstown, OH 44514-3688 | 2012-07-26 |
| 1811285562 | Sanaullah Khalid | Internal Medicine | 835 Southwestern Run, Youngstown, OH 44514 | 2011-07-15 |
| 1215979588 | Mahoning Valley Hematology Oncology Assoc. Inc. | Internal Medicine | 835 Southwestern Run, Youngstown, OH 44514-3688 | 2006-06-12 |
| 1336190701 | Amy Beth Awaida | Internal Medicine | 835 Southwestern Run, Youngstown, OH 44514-3688 | 2006-05-12 |
| 1942204672 | Chris A Knight | Internal Medicine | 835 Southwestern Run, Youngstown, OH 44514-3688 | 2005-06-10 |
| 1699779447 | Eugene F Tareshawty | Internal Medicine | 835 Southwestern Run, Youngstown, OH 44514-3688 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003456351 | Apex Neuropsychology Center LLC | Psychologist | 819 Southwestern Run #2, Poland, OH 44514 | 2020-01-14 |
| 1770844540 | Marie Josephine Bosio | Counselor | 7711 Forest Hill Ave, Poland, OH 44514 | 2012-06-07 |
| 1912205709 | Joseph Ivey | Occupational Therapy Assistant | 5781 Sheridan Rd. #5, Poland, OH 44514 | 2011-03-03 |
| 1770816316 | M. Maurine Fogarty | Speech-Language Pathologist | 7067 Tiffany Blvd., Poland, OH 44514 | 2009-09-15 |
| 1346462819 | Millennia Women's Healthcare, Inc | Obstetrics & Gynecology | 1040 South Commons, Suite 100, Poland, OH 44514 | 2007-05-03 |
| 1619090891 | Foundation Health Care, Inc. | Family Medicine | 755 Boardman-canfiled Road, Suite F5, Youngstown, OH 44514 | 2007-04-10 |
| 1770605339 | Luis E. Villaplana M.d.,inc | Internal Medicine | 823 Southwestern Run, Youngstown, OH 44514 | 2007-04-04 |
| 1720109127 | Stevens Optical | Technician/Technologist | 1714 Boardman-poland Rd., Boardman, OH 44514 | 2007-04-03 |
| 1568515385 | Jacqueline Ann Chorey | Counselor | 2250 E Western Reserve Rd, Poland, OH 44514 | 2007-01-18 |
| 1790834190 | James E Leonelli | Obstetrics & Gynecology | 1040 South Commons Place, Youngstown, OH 44514 | 2007-01-09 |
| Find all providers in zip 44514 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125960 | Eric Mark Chevlen | Internal Medicine | 1383 Virginia Trl, Youngstown, OH 44505-1642 | 2006-02-24 |
| 1811285562 | Sanaullah Khalid | Internal Medicine | 835 Southwestern Run, Youngstown, OH 44514 | 2011-07-15 |
| 1215979588 | Mahoning Valley Hematology Oncology Assoc. Inc. | Internal Medicine | 835 Southwestern Run, Youngstown, OH 44514-3688 | 2006-06-12 |
| 1336190701 | Amy Beth Awaida | Internal Medicine | 835 Southwestern Run, Youngstown, OH 44514-3688 | 2006-05-12 |
| 1942204672 | Chris A Knight | Internal Medicine | 835 Southwestern Run, Youngstown, OH 44514-3688 | 2005-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315076 | Clermont County Cancer Center LLC | Internal Medicine | 4402 Hartman Ln, Batavia, OH 45103-1971 | 2014-12-08 |
| 1215353834 | Ahmed M Ghany | Internal Medicine | 100 W 3rd Ave Ste 150, Columbus, OH 43201-3260 | 2014-03-06 |
| 1972935716 | Stanley P Balcerzak | Internal Medicine | 3113 N 3 Bs and K Rd, Sunbury, OH 43074-9674 | 2013-08-03 |
| 1184056996 | Mohammad Ansari-dezfuli | Internal Medicine | 1700 Carriage Place, Gates Mills, OH 44040 | 2013-08-02 |
| 1043569486 | Virginia Ann Rhodes | Internal Medicine | 1557 Landsdale Cir, Twinsburg, OH 44087-3337 | 2012-08-30 |
| 1629324009 | Earl Nelson Metz | Internal Medicine | 226 E. Dublin Granville Rd., Worthington, OH 43085-3185 | 2012-08-03 |
| 1366715260 | John Kiess Kurtz | Internal Medicine | 3676 Kehrer Rd, Bucyrus, OH 44820-8624 | 2012-02-23 |
| 1922398049 | Vamsi Koduri | Internal Medicine | 4435 State Route 159, Chillicothe, OH 45601 | 2011-04-11 |
| 1528392297 | William H Sigalove | Internal Medicine | 130 Meadow Dr, Elyria, OH 44035-1838 | 2009-09-28 |
| 1922236017 | Amir Iqbal | Internal Medicine | 885 S Sawburg Ave, Suite 110, Alliance, OH 44601-5926 | 2009-06-26 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44514 |
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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.