DR. PAUL JOHN MINNILLO (NPI# 1922132786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922132786 |
| Entity Type | Individual |
| Full Name | DR. PAUL JOHN MINNILLO |
| Credential | D.D.S. |
| Practice Address |
1212 Abbe Rd N Elyria OH 44035-1600 |
| Mailing Address |
36760 Bellcrest Dr Avon OH 44011-3430 |
| Practice Telephone | 4403662441 |
| Practice Fax Number | 4403666311 |
| Mailing Telephone | 4403662441 |
| Mailing Fax Number | 4403666311 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
30-019441 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306091384 | Paul R Minnillo | Psychologist | 11100 Euclid Ave, Cleveland, OH 44106 | 2008-11-18 |
| Street Address |
1212 ABBE RD N |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-1600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228767 | Deak Medical Dentistry | Dentist | 1212 Abbe Rd N, Elyria, OH 44035-1600 | 2019-11-01 |
| 1366628620 | Joseph G. Van Keuren | Optometrist | 1212 Abbe Rd N, Suite B, Elyria, OH 44035-1600 | 2008-01-17 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1679027585 | Signature Smiles Dr. Salameh, LLC | Dentist | 570 Chestnut Commons Dr., Elyria, OH 44035 | 2016-08-09 |
| 1417298332 | Joseph Jeremy Mirci | Dentist | 209 Midway Blvd, Elyria, OH 44035-2787 | 2013-03-04 |
| 1982874475 | Allcare Dental & Dentures of Ohio - Bates | Dentist | 1581 West River Rd N, Elyria, OH 44035-2779 | 2008-03-11 |
| 1992929103 | Dennis L Kempf | Dentist | 280 South Logan Street, Elyria, OH 44035-6224 | 2007-04-12 |
| 1578647673 | Michael W Kwong | Dentist | 209 A Midway Blvd, American Dental Centers, Elyria, OH 44035 | 2006-10-25 |
| 1861597296 | Raymond H Vecchio | Dentist | 1288 N. Abbe Rd, Elyria, OH 44035 | 2006-09-13 |
| 1508871021 | Kathleen Cox Zingale | Dentist | 125 E Bridge St, Elyria, OH 44035-5218 | 2006-07-31 |
| 1881630150 | Matt A Mciver | Dentist | 706 E River St, Elyria, OH 44035-5918 | 2006-06-22 |
| 1730131491 | Lawrence James Welsh | Dentist | 4900 Midway Mall, Midway Mall, Elyria, OH 44035-2470 | 2006-05-17 |
| 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.