MRS. CYNTHIA L. VANDEMARK


Address: 1250 Ralston Ave Ste 205, Defiance, OH 43512-5310
Phone: 4197825774

MRS. CYNTHIA L. VANDEMARK (NPI# 1881023224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881023224
Entity Type Individual
Full Name MRS. CYNTHIA L. VANDEMARK
Credential MSN, WHNP-BC
Practice Address 1250 Ralston Ave Ste 205
Defiance
OH 43512-5310
Mailing Address 1 Seagate Ste 800
Toledo
OH 43604-1558
Practice Telephone 4197825774
Practice Fax Number 4197826103
Mailing Telephone 5675851992
Mailing Fax Number 4198247359
Enumeration Date 2013-11-06
Last Update Date 2018-10-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
RN-284906-COA-1 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0095549 05

Office Location

Street Address 1250 RALSTON AVE STE 205
City DEFIANCE
State OH
Zip Code 43512-5310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649685868 Ashley Monk Obstetrics & Gynecology 1250 Ralston Ave Ste 205, Defiance, OH 43512 2014-06-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174098768 Dr. Bradley Pittman Dds Ltd. Oral & Maxillofacial Surgery 205 E. Second St., Defiance, OH 43512 2018-10-10
1285115147 Tamara Lynn Junge Social Worker 1252 Ralston Avenue, #401, Defiance, OH 43512 2018-08-28
1306207568 Deborah Lehnert Licensed Practical Nurse 511 Perry Street, Defiance, OH 43512 2016-03-16
1265857924 P & R Home Iv Service, Inc. Durable Medical Equipment & Medical Supplies 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 2014-03-04
1609020155 Christina Marie Pergram Physician Assistant 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 2008-11-11
1477740785 Assisted Living Concepts Inc Assisted Living Facility 245 North Rosewood Avenue, Defiance, OH 43512 2007-10-01
1720127863 Kathy Williams Homier Counselor 815 E Second St, Defiance, OH 43512 2007-02-05
1407944960 Oak Health Care Investors of Defiance, Inc. Durable Medical Equipment & Medical Supplies 1701 South Jefferson Ave, Defiance, OH 43512 2006-10-10
1184733719 Shane Aaron Klingler Chiropractor 1770 Jefferson Ave, Defiance, OH 43512 2006-08-29
1396751327 Elizabeth Marie Seibert Pharmacist 1245 E Second St, Defiance, OH 43512 2006-07-31
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1790384790 Kimberly Chmielewski Nurse Practitioner 3422 Cross Creek Cir, Wooster, OH 44691-1861 2020-10-21
1649877077 Lee Danielle Watts Nurse Practitioner 2152 E State Route 29, Urbana, OH 43078-9779 2020-10-08
1003425281 Jessica Shattuck Nurse Practitioner 108 Slippery Rock Ln, Berea, OH 44017-3155 2020-07-23
1205460060 Katherine Niles Nurse Practitioner 7884 Oak Valley Rd, Reynoldsburg, OH 43068-1577 2020-03-02
1447803267 Amy Kathleen Mock Nurse Practitioner 575 Westar Xing Ste 102, Westerville, OH 43082-7815 2019-07-21
1659933729 Ashley Marie Brown Nurse Practitioner 2055 Crocker Rd Ste 206, Westlake, OH 44145-2197 2019-06-28
1144881772 Erin Burris Nurse Practitioner 201 5th St Ne Ste 15, Barberton, OH 44203-3017 2019-06-25
1326604299 Tiffany Messerall Nurse Practitioner 1577 Guilford Rd, Columbus, OH 43221-3850 2019-05-15
1093298689 Jennifer Emrick Nurse Practitioner 3909 Orange Pl Ste 4400, Beachwood, OH 44122-4482 2018-09-11
1730661703 Lisa Taormina-dingman Nurse Practitioner 7067 Tiffany Blvd Ste 220, Poland, OH 44514-1981 2018-09-05
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Competitor

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City DEFIANCE
Zip Code 43512

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Dataset Information

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.

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