HEALTHSPAN PHYSICIANS, LLC (NPI# 1952713331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952713331 |
| Entity Type | Organization |
| Organization Name | HEALTHSPAN PHYSICIANS, LLC |
| Other Organization Name | HEALTHSPAN PHYSICIANS - MENTOR |
| Practice Address |
7695 Mentor Ave Mentor OH 44060-5540 |
| Mailing Address |
12301 Snow Rd Revenue Cycle Department Parma OH 44130-1002 |
| Practice Telephone | 4406023706 |
| Practice Fax Number | 4406023708 |
| Mailing Telephone | 8662658844 |
| Mailing Fax Number | 2162658890 |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-09-22 |
| Authorized Official Name | MICHAEL MILECA (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 2162658811 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| HealthSpan Physicians - Mentor | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215349634 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 12301 Snow Rd, Parma, OH 44130-1002 | 2014-05-21 |
| 1518379908 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2014-05-20 |
| 1568874949 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2014-05-20 |
| 1174935563 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 20575 Center Ridge Rd, Suite 502, Rocky River, OH 44116-3422 | 2014-05-20 |
| 1629480058 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 1260 Independence Ave, Akron, OH 44310-1812 | 2014-05-20 |
| 1790197168 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 7536 Fredle Dr, Painesville, OH 44077-9406 | 2014-05-20 |
| 1730591108 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 2500 State Route 59, Suite 28, Kent, OH 44240-7105 | 2014-05-20 |
| 1235541624 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 8920 Canyon Falls Blvd, Twinsburg, OH 44087-1990 | 2014-05-20 |
| 1033521422 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-05-20 |
| 1841602216 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 4055 Embassy Pkwy, Fairlawn, OH 44333-1781 | 2014-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | HEALTHSPAN PHYSICIANS, LLC | 615 Elsinore Place, Cincinnati, OH 45202 |
| Street Address |
7695 MENTOR AVE |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801998893 | Mark Allan Roth | Internal Medicine | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2006-09-01 |
| 1851847222 | Paladina Health, LLC | Family Medicine | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2016-08-26 |
| 1457788234 | Healthspan Integrated Care | Pediatrics | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2013-10-11 |
| 1952685851 | Ohio Permanente Medical Group | Pediatrics | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2011-10-11 |
| 1851602890 | Helen Louise Haffey | Nurse Practitioner | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2010-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134615479 | Kjs Consulting LLC | Durable Medical Equipment & Medical Supplies | 8262 Hemingway Ln, Mentor, OH 44060-8081 | 2018-07-10 |
| 1942701305 | Focus Construction Co | Durable Medical Equipment & Medical Supplies | 5448 Links Rd, Mentor, OH 44060-1533 | 2018-02-21 |
| 1730531120 | Shellie L. Graf | Durable Medical Equipment & Medical Supplies | 8510 Mentor Ave Ste B, Mentor, OH 44060-5841 | 2016-07-08 |
| 1982992152 | P.s. Auto Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 7588 Tyler Blvd, Mentor, OH 44060-4871 | 2011-07-21 |
| 1770881237 | Independent Senior Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6826 Cherry Blossom Dr, Mentor, OH 44060-8429 | 2011-03-08 |
| 1053505198 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 9669 Mentor Ave, Mentor, OH 44060-4528 | 2007-08-31 |
| 1255549929 | Luminaud Inc | Durable Medical Equipment & Medical Supplies | 8688 Tyler Blvd, Mentor, OH 44060-4348 | 2007-05-18 |
| 1275631822 | Ohio Cvs Stores LLC | Durable Medical Equipment & Medical Supplies | 7301 Lake Shore Blvd, Mentor, OH 44060-3029 | 2006-09-20 |
| 1861501108 | Rite Aid of Ohio Inc | Durable Medical Equipment & Medical Supplies | 7796 Munson Road, Mentor, OH 44060-3745 | 2006-08-30 |
| 1306851324 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9400 Mentor Ave, Mentor, OH 44060-4520 | 2006-07-29 |
| Find all providers in MENTOR | ||||
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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.