LANDMARK MEDICAL OF OHIO PROFESSIONAL CORPORATION (NPI# 1942705603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942705603 |
| Entity Type | Organization |
| Organization Name | LANDMARK MEDICAL OF OHIO PROFESSIONAL CORPORATION |
| Practice Address |
5151 Pfeiffer Rd Ste 350 Blue Ash OH 45242 |
| Mailing Address |
7755 Center Ave Ste 630 Huntington Beach CA 92647-9152 |
| Practice Telephone | 8333582036 |
| Mailing Telephone | 6574005180 |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2018-07-23 |
| Authorized Official Name | DR. MICHAEL HUY LE (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6574005180 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
5151 PFEIFFER RD STE 350 |
| City | BLUE ASH |
| State | OH |
| Zip Code | 45242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528049053 | Evelyn R Mote | Family Medicine | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2005-11-10 |
| 1477103869 | Philip Ofori Yentumi | Registered Nurse | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2019-09-17 |
| 1619430501 | Kelly A Mcmanis | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2019-04-09 |
| 1568929685 | Angela Denise Miller | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2019-02-25 |
| 1558851584 | Samantha Hake Mason | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2018-05-15 |
| 1023512944 | Ramie Jacqueline Martin | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2018-03-23 |
| 1578087482 | Chelsea Poland | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2017-08-01 |
| 1346690674 | Angela Mclearen | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2016-06-17 |
| 1063887099 | Annie Longenecker | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2015-12-02 |
| 1396069860 | Sandra J Kindness | Nurse Practitioner | 5151 Pfeiffer Rd Ste 350, Blue Ash, OH 45242-4854 | 2010-03-26 |
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|---|---|---|---|---|
| 1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
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| 1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
| 1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
| 1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
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| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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|---|---|---|---|---|
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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.