JAMES EDGAR LUNDEEN SR. (NPI# 1962654731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962654731 |
| Entity Type | Individual |
| Full Name | JAMES EDGAR LUNDEEN SR. |
| Credential | M.D. |
| Practice Address |
26 Sandusky St Plymouth OH 44865-1113 |
| Practice Telephone | 4196874322 |
| Practice Fax Number | 4196874323 |
| Mailing Telephone | 4196874322 |
| Mailing Fax Number | 4196874323 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2011-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
35052257 | OH | Allopathic & Osteopathic Physicians |
| N | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
35052257 | OH | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 35052257 | OH | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
35052257 | OH | Allopathic & Osteopathic Physicians |
| N | 209800000X | Legal Medicine | 35052257 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0604322 | 05 | |
| OH | MEDICARE PTAN | 0808943 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750438065 | James Michael Lundeen | Physical Therapist | 230 S Shepherd St, Suite A, Sonora, CA 95370-5076 | 2007-01-05 |
| 1629068374 | James W Lundeen | Surgery | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2005-10-25 |
| Street Address |
26 SANDUSKY ST |
| City | PLYMOUTH |
| State | OH |
| Zip Code | 44865-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093236010 | Nicole Lerae Varkonda | Social Worker | 4181 Townline Road 111, Plymouth, OH 44865 | 2017-06-29 |
| 1437443942 | Kathy Ann Goble | Licensed Practical Nurse | 8247 State Route 61 Lot #22, Plymouth, OH 44865 | 2011-06-01 |
| 1770587693 | Evillo M Domingo | Family Medicine | 25 Spring St, Plymouth, OH 44865 | 2005-06-09 |
| 1114153020 | Rachel Ann Mcclary | Licensed Practical Nurse | 101 Plymouth St, Plymouth, OH 44865-1009 | 2009-06-05 |
| 1306080247 | Jamie L Montgomery | Licensed Practical Nurse | 159 Railroad St, Plymouth, OH 44865-1050 | 2009-04-22 |
| 1033329123 | Jeffery B. Stoller D.d.s I.n.c | Dentist | 4 E Main St, Plymouth, OH 44865-1081 | 2007-05-23 |
| 1164632253 | Emily Fries | Dental Hygienist | 4 E Main St, Plymouth, OH 44865-1081 | 2007-05-23 |
| 1811106420 | Jeffery Stoller | Dentist | 4 E Main St, Plymouth, OH 44865-1081 | 2007-05-21 |
| 1346485380 | Plymouth-shiloh Local Schools | Local Education Agency (LEA) | 365 Sandusky St, Plymouth, OH 44865-1135 | 2008-12-04 |
| 1134434772 | Tina Faye Gibson | Licensed Practical Nurse | 63 Park Ave, Plymouth, OH 44865-1148 | 2010-08-06 |
| Find all providers in zip 44865 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063414845 | David W Spight | Physical Medicine & Rehabilitation | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2005-08-11 |
| 1043409170 | Lori L Sandberg | Physical Medicine & Rehabilitation | 3475 Plymouth Blvd Ste 200, Plymouth, MN 55447-1539 | 2007-10-15 |
| 1730302217 | Steven Morgen Stulc | Physical Medicine & Rehabilitation | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2007-04-11 |
| 1285664011 | Steven R Sabers | Physical Medicine & Rehabilitation | 15700 37th Ave N Ste 150, Plymouth, MN 55446-3675 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287936 | Novus Pain Management - Ohio LLC | Physical Medicine & Rehabilitation | 100 N Main St Ste 350, Chagrin Falls, OH 44022-2773 | 2019-10-25 |
| 1396218558 | Health Intrinsic Technology LLC | Physical Medicine & Rehabilitation | 41 Brookline Ave, Youngstown, OH 44505-2530 | 2019-01-09 |
| 1760884399 | Patrick T Boylan Md Inc | Physical Medicine & Rehabilitation | 9485 Mentor Ave Ste 203, Mentor, OH 44060-8723 | 2014-09-26 |
| 1750513867 | Comprehensive Pain Management & Electrodiagnostics, LLC | Physical Medicine & Rehabilitation | 80 N Portage Path, #ph7, Akron, OH 44303-1144 | 2009-08-23 |
| 1679777528 | Kush Kumar Goyal | Physical Medicine & Rehabilitation | 1730 W 25th St # 2c, Center for Spine Health- Lutheran Hospital, Cleveland, OH 44113-3108 | 2007-06-13 |
| 1841316163 | University Primary Care Practices Inc | Physical Medicine & Rehabilitation | 50 Blaine Ave Ste 2300, Bedford, OH 44146-2709 | 2007-03-21 |
| 1467594986 | Tarulata M Patel | Physical Medicine & Rehabilitation | 50 Normandy Drive Suite #3, Liberty Medical Center, Painesville, OH 44077 | 2007-02-12 |
| 1184766602 | Maheshkumar P. Patel | Physical Medicine & Rehabilitation | 26250 Euclid Avenue, Suite 625, Euclid, OH 44132 | 2007-02-12 |
| 1205985967 | Southwest General Medical Group, Inc | Physical Medicine & Rehabilitation | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2007-01-10 |
| 1619033693 | Narinder N Khosla | Physical Medicine & Rehabilitation | 1006 Grant St, Sandusky, OH 44870-4602 | 2006-12-28 |
| Find all providers with the same taxonomy | ||||
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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.