MARY TERESA SIVIK (NPI# 1841256013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841256013 |
| Entity Type | Individual |
| Full Name | MARY TERESA SIVIK |
| Credential | MD |
| Practice Address |
6701 Rockside Rd Suite 330 Independence OH 44131-2358 |
| Practice Telephone | 2165244009 |
| Practice Fax Number | 2165247933 |
| Mailing Telephone | 2165244009 |
| Mailing Fax Number | 2165247933 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 35069922 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | SUMMACARE/APEX | T69922 | 01 |
| OH | ANTHEM | 000000139991 | 01 |
| OH | 0288031 | 05 |
| Street Address |
6701 ROCKSIDE RD SUITE 330 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061702 | Eric William Boose | Family Medicine | 6701 Rockside Rd, Ste 260, Independence, OH 44131-2351 | 2005-05-23 |
| 1467990168 | Independence Accident and Injury Center, LLC | Chiropractor | 6701 Rockside Rd, Suite 230, Independence, OH 44131-2358 | 2017-02-02 |
| 1407207673 | Pai Medical Inc | Internal Medicine | 6701 Rockside Rd, #370, Independence, OH 44131-2358 | 2016-06-28 |
| 1710372560 | Brian Myers | Family Medicine | 6701 Rockside Rd, Independence, OH 44131 | 2015-03-30 |
| 1114326097 | Victoria Kucek | Anesthesiologist Assistant | 6701 Rockside Rd, Ste 200, Independence, OH 44131-2358 | 2014-08-18 |
| 1033522115 | Emanuela Pratt | Anesthesiologist Assistant | 6701 Rockside Rd, Suite 200, Independence, OH 44131-2358 | 2014-06-06 |
| 1164798906 | Mark L Allen Md, Inc | Anesthesiology | 6701 Rockside Rd, Suite 200, Independence, OH 44131-2358 | 2012-03-27 |
| 1609164789 | Anthony R Tripi | Anesthesiologist Assistant | 6701 Rockside Rd, Ste 200, Independence, OH 44131-2358 | 2011-07-11 |
| 1184916033 | Outreach Professional Services Inc | Durable Medical Equipment & Medical Supplies | 6701 Rockside Rd, Suite 100, Independence, OH 44131-2358 | 2011-05-11 |
| 1174829378 | Lisa M Schnell | Physician Assistant | 6701 Rockside Rd, Suite 103, Independence, OH 44131-2358 | 2011-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962426841 | Peter Joesph Muelleman | Dermatology | 19101 E Valley View Pkwy Ste A, Independence, MO 64055-6907 | 2006-07-26 |
| 1215955661 | Marlene Willen | Dermatology | 6701 Rockside Rd Ste 330, Independence, OH 44131-2316 | 2006-07-17 |
| 1821201948 | Peter J Muelleman | Dermatology | 19101 E Valley View Pkwy Ste A, Independence, MO 64055-6907 | 2007-05-07 |
| 1184771099 | Pamela Ng | Dermatology | 5001 Rockside Rd, Dermatology In40, Independence, OH 44131-2172 | 2007-01-04 |
| 1992761068 | Carol G Burg | Dermatology | 6701 Rockside Rd, Suite 330, Independence, OH 44131-2358 | 2006-04-26 |
| 1750347480 | Northcoast Dermatology Associates, Inc. | Dermatology | 6701 Rockside Rd, Suite 330, Independence, OH 44131-2358 | 2006-04-21 |
| 1164487534 | Connie D Sutter | Dermatology | 6701 Rockside Rd, Suite 330, Independence, OH 44131-2358 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623808 | Bria Deshea Barjuca | Dermatology | 4450 Eastgate Blvd Ste 232, Cincinnati, OH 45245-1788 | 2020-09-09 |
| 1184263675 | Sunkiss Essentials LLC | Dermatology | 2926 State Rd Ste 369, Cuyahoga Falls, OH 44223-1244 | 2019-12-31 |
| 1770048894 | Teresa O'connell | Dermatology | Timeless Skin Solutions, 31 South High St, Dublin, OH 43017 | 2019-02-02 |
| 1144737560 | Robert Brody Md Co | Dermatology | 3461 Warrensville Center Rd Ste 101, Shaker Heights, OH 44122-5227 | 2018-01-08 |
| 1366893752 | Kirsten Dickinson | Dermatology | Cleveland Clinic 9500 Euclin Ave, Cleveland, OH 44195-1009 | 2016-06-27 |
| 1649629692 | Megan Ashley Jones-sheets | Dermatology | 75 Metro Place North, Suite 195, Dublin, OH 43017 | 2016-06-10 |
| 1275982746 | Samantha N Barry | Dermatology | 9403 Kenwood Rd Ste B100, Blue Ash, OH 45242-6858 | 2016-06-06 |
| 1720433592 | Nitin Tiwari | Dermatology | 4439 State Route 159 Ste G50, Chillicothe, OH 45601-7202 | 2016-04-29 |
| 1487008751 | Kiyanna Marie Williams | Dermatology | 2049 E 100th St A Building, Cleveland, OH 44195-1014 | 2016-04-22 |
| 1336502038 | Jacqueline Graham | Dermatology | 566 White Pond Dr Ste E, Akron, OH 44320-1116 | 2016-03-30 |
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| City | INDEPENDENCE |
| Zip Code | 44131 |
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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.