MR. TIMOTHY J BUNGO (NPI# 1932526829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932526829 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY J BUNGO |
| Credential | PT |
| Practice Address |
33100 Cleveland Clinic Blvd Avon OH 44011-1390 |
| Mailing Address |
33285 Saint James Trl Avon OH 44011-4567 |
| Practice Telephone | 4406954532 |
| Mailing Telephone | 4402897955 |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
6049 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
33100 CLEVELAND CLINIC BLVD |
| City | AVON |
| State | OH |
| Zip Code | 44011-1390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126683 | Annie R Tan | Internal Medicine | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2005-06-30 |
| 1992323646 | Sarah Lauren Mcnulty | Internal Medicine | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-07-09 |
| 1952939522 | William Quinn Menard | Physical Therapist | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-03-30 |
| 1356979025 | Jared Berger | Physical Therapist | 33100 Cleveland Clinic Blvd, Physical Therapy Department, Avon, OH 44011 | 2020-03-30 |
| 1053949941 | Shawn Nixon | Nurse Practitioner | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-03-28 |
| 1174156228 | Emma Rueth | Dietitian, Registered | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2020-02-18 |
| 1619514569 | Carmen Moreno | Physician Assistant | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2019-12-10 |
| 1588225098 | Lindsey Trotter | Nurse Practitioner | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2019-06-25 |
| 1619465614 | Timothy Gill | Nurse Practitioner | 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-25 |
| 1467960575 | The Cleveland Clinic Foundation | Optometrist | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2018-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750845889 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1810 Nagel Rd, Avon, OH 44011 | 2019-01-23 |
| 1548758782 | Stacey L Yanetta | Social Worker | Avon-richard E. Jacobs Health Center, 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-24 |
| 1073054540 | Timothy Weitzel | Social Worker | 36419 Edenhall Terrace, Avon, OH 44011 | 2017-03-16 |
| 1568829059 | Jessica Ryan Springer | Nurse Practitioner | 36130 N Park Dr, Avon, OH 44011 | 2016-01-28 |
| 1962879569 | Cleveland Clinic Rehabilitation Hospitals, LLC | Rehabilitation Hospital | 33355 Health Campus Boulevard, Avon, OH 44011 | 2015-08-31 |
| 1619373024 | Avon Healthcare Center, Inc. | Skilled Nursing Facility | 37845 Colorado Avenue, Avon, OH 44011 | 2014-11-12 |
| 1508272543 | Samantha Willi | Counselor | 37040 Colorado Ave, Avon, OH 44011 | 2014-07-10 |
| 1336572791 | Todd Bernard | Dentist | 37701 Colorado Ave Ste E, Avon, OH 44011 | 2013-08-20 |
| 1245550730 | Kenneth Charles Hohmeier | Pharmacist | 38530 Chester Road, Suite 400, Avon, OH 44011 | 2010-06-07 |
| 1760712343 | Avon Local School District | Local Education Agency (LEA) | 36600 Detroit Road, Avon, OH 44011 | 2010-01-05 |
| Find all providers in zip 44011 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215571195 | Patricia Mariano Kopasakis | Physical Therapist | 33100 Cleveland Clinic Blvd # 1-1, Avon, OH 44011-1390 | 2019-11-04 |
| 1174178479 | Mckinley Lee | Physical Therapist | 126 Riverfront Ln, Avon, CO 81620-5421 | 2019-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285271643 | Matthew Brancaleone | Physical Therapist | 337 Annie and John Glenn Ave, Columbus, OH 43210-1442 | 2019-12-04 |
| 1700367620 | Amber Boyd | Physical Therapist | 222 Piedmont Ave Ste 2300, Cincinnati, OH 45219-4215 | 2018-08-28 |
| 1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
| 1720476989 | Michael Sean Huffman | Physical Therapist | 1270e Powell Rd, Lewis Center, OH 43035-8619 | 2014-12-22 |
| 1144655549 | Alexis J Roseman | Physical Therapist | 2751 Ovarsity Way Rm 265, Cincinnati, OH 45221-0001 | 2013-09-05 |
| 1124463435 | John T Vanwey | Physical Therapist | 221 Duff St, Gambier, OH 43022-5013 | 2013-05-01 |
| 1619153400 | Janine L Oman | Physical Therapist | 535 Irving Schottenstein Drive, Whac, Columbus, OH 43210 | 2008-01-11 |
| 1619152840 | Mark F Elkin | Physical Therapist | 11880 Mosteller Rd, Sharonville, OH 45241-1551 | 2008-01-07 |
| 1336341973 | Athletic Advantage, Inc | Physical Therapist | 8849 Whitney Dr, Lewis Center, OH 43035-7107 | 2007-06-05 |
| 1336355635 | Cassy Ryanne Sharp | Physical Therapist | 9483 Reeder Ave, Louisville, OH 44641-9533 | 2007-05-15 |
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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.