DR. CAROLYN KWAN (NPI# 1942724554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942724554 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN KWAN |
| Credential | MD |
| Practice Address |
2259 Lake Ave Ashtabula OH 44004-3437 |
| Practice Telephone | 4409947654 |
| Mailing Telephone | 4409947654 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2020-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35.139910 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 57.030377 | OH | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 155 5th St Ne, Barberton, OH 442033332 | 3306153205 |
| Street Address |
2259 LAKE AVE |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265877179 | Emily Brown | Nurse Practitioner | 2259 Lake Ave, Ashtabula, OH 44004-3437 | 2013-05-06 |
| 1417367384 | Peggie L Reinhardt | Nurse Practitioner | 2259 Lake Ave, Ashtabula, OH 44004-3437 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275627598 | Gregory Charles Brant | Family Medicine | 4716 N Ridge Rd W, Ashtabula, OH 44004-9409 | 2006-10-03 |
| 1548239718 | Archie Scott Wilkinson | Family Medicine | 2736 Lake Ave, Ashtabula, OH 44004-4960 | 2006-03-17 |
| 1871579797 | Edward A Carrillo | Family Medicine | 5026 North Ridge West, Ashtabula, OH 44004-9508 | 2005-12-22 |
| 1205829082 | Harbor Medical Clinic, Inc. | Family Medicine | 611 Lake Ave, Ashtabula, OH 44004-3262 | 2005-08-26 |
| 1720333222 | Susan Marie Ratay | Family Medicine | 2131 Lake Ave, Suite 4, Ashtabula, OH 44004-3466 | 2012-07-20 |
| 1992096549 | Nathaniel Scott Franley | Family Medicine | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2011-04-29 |
| 1770885238 | Anil G Patel Md Inc | Family Medicine | 1184 Lake Ave, Ashtabula, OH 44004-2930 | 2010-12-03 |
| 1326379975 | Keith L Davis Md | Family Medicine | 2420 Lake Ave, Ashtabula, OH 44004-2420 | 2010-01-21 |
| 1457467797 | Sandra L Cook | Family Medicine | 517 W Prospect Rd, Suite C, Ashtabula, OH 44004-5864 | 2006-08-21 |
| 1821056839 | Suk Kon Choi | Family Medicine | 2422 Lake Ave, Ashtabula, OH 44004-4985 | 2006-05-02 |
| Find all providers in ASHTABULA | ||||
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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.