MEDCENTRAL PROFESSIONAL FOUNDATION, LLC (NPI# 1841476942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841476942 |
| Entity Type | Organization |
| Organization Name | MEDCENTRAL PROFESSIONAL FOUNDATION, LLC |
| Practice Address |
308 Glessner Avenue Mansfield OH 44903-2269 |
| Mailing Address |
335 Glessner Ave Mansfield OH 44903-2269 |
| Practice Telephone | 4195268962 |
| Practice Fax Number | 4195268834 |
| Mailing Telephone | 4195268962 |
| Mailing Fax Number | 4195268834 |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2013-09-17 |
| Authorized Official Name | JOSEPH L CHAMBERLAIN (CEO/CFO) |
| Authorized Official Telephone | 4195268000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
35-07-2694-D | OH | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | 35090672 | OH | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2810131 | 05 |
| Street Address |
308 GLESSNER AVENUE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44903-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495304 | Meredith Remy | Specialist/Technologist | 864 St. Rt. 314 S, Mansfield, OH 44903 | 2018-01-17 |
| 1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
| 1942722517 | Leighana Nichole Smith | Licensed Practical Nurse | 1451 Lucas Rd., Mansfield, OH 44903 | 2017-07-14 |
| 1528481710 | Sarah Elizabeth Hoffman | Occupational Therapy Assistant | 1600 Crider Rd., Mansfield, OH 44903 | 2014-01-24 |
| 1881025195 | Erica Renee Hanley | Occupational Therapy Assistant | 1600 Crider Road, Mansfield, OH 44903 | 2013-12-12 |
| 1164768917 | Colette Elaine Germann | Licensed Practical Nurse | 695 Satinwood N Cr, Mansfield, OH 44903 | 2012-12-26 |
| 1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
| 1215217989 | Darein Lee Wilson | Nurse's Aide | 175 Colonial Drive, Mansfield, OH 44903 | 2011-08-25 |
| 1205070802 | Simone Nannette Robinson | Licensed Practical Nurse | 576 Garfield Place, Mansfield, OH 44903 | 2009-04-27 |
| 1659518991 | Amelia Faye Johnson Grund | Nurse Practitioner | 336 Glessner Ave, Mob 2nd Fl, Mansfield, OH 44903 | 2009-01-08 |
| Find all providers in zip 44903 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427479831 | Harmych Facial Plastic Surgery LLC | Otolaryngology | 29225 Chagrin Blvd, Suite 285, Beachwood, OH 44122-4645 | 2014-01-02 |
| 1730492141 | Rebecca A Schuster | Otolaryngology | 310 W Union St Ste 102, Athens, OH 45701-2312 | 2010-07-15 |
| 1578769261 | Otolaryngology Head & Neck Consultants, P.C. | Otolaryngology | 6505 Market St Ste A103, Youngstown, OH 44512-3400 | 2007-06-21 |
| 1275618316 | Richard D Gentile | Otolaryngology | 821 Kentwood Dr Ste C, Youngstown, OH 44512-5061 | 2006-10-26 |
| 1184722589 | Robert J Smyth | Otolaryngology | 2859 Boudinot Avenue, Suite 302, Cincinnati, OH 45238 | 2006-09-20 |
| 1841256765 | Kenneth Carroll Parker | Otolaryngology | 36 Mcmillen Dr, Newark, OH 43055-1809 | 2006-04-21 |
| 1043614589 | Sps18, LLC | Otolaryngology | 725 Buckles Ct N Ste 210, Gahanna, OH 43230-6884 | 2014-10-13 |
| 1205127024 | Jonathan Karl Frankel | Otolaryngology | 29099 Health Campus Dr, Uh St John Medical Center, Bldg 3, Ste 250, Westlake, OH 44145 | 2011-04-27 |
| 1144468711 | Daniel E Wade Jr. | Otolaryngology | 1900 23rd St, Cuyahoga Falls, OH 44223-1404 | 2009-02-04 |
| 1144489386 | Jared Daniel Bunevich | Otolaryngology | 1932 Niles Cortland Rd Ne Ste B, Warren, OH 44484-1055 | 2008-06-03 |
| Find all providers with the same taxonomy | ||||
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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.