HEALTHSPAN INTEGRATED CARE (NPI# 1962839753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962839753 |
| Entity Type | Organization |
| Organization Name | HEALTHSPAN INTEGRATED CARE |
| Practice Address |
1260 Independence Ave Akron OH 44310-1812 |
| Mailing Address |
615 Elsinore Pl Cincinnati OH 45202-1459 |
| Practice Telephone | 2162658810 |
| Practice Fax Number | 2162658890 |
| Mailing Telephone | 5136392722 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |
| Authorized Official Name | MR. DAVID A NOWISKI (CFO) |
| Authorized Official Telephone | 5136392722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073941803 | Healthspan Integrated Care | Family Medicine | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2013-10-14 |
| 1700213592 | Healthspan Integrated Care | Pediatrics | 19999 Rockside Rd, Bedford, OH 44146-2074 | 2013-10-11 |
| 1659708444 | Healthspan Integrated Care | Pediatrics | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2013-10-11 |
| 1740617539 | Healthspan Integrated Care | Emergency Medicine | 12301 Snow Rd, Cleveland, OH 44130-1002 | 2013-10-11 |
| 1457788234 | Healthspan Integrated Care | Pediatrics | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2013-10-11 |
| 1285061069 | Healthspan Integrated Care | Pediatrics | 3443 Medina Rd, Suite 108, Medina, OH 44256-5360 | 2013-10-11 |
| 1164859948 | Healthspan Integrated Care | Pediatrics | 2500 State Route 59, Suite 28, Kent, OH 44240-7105 | 2013-10-11 |
| 1073940854 | Healthspan Integrated Care | Pediatrics | 7536 Fredle Dr, Concord Twp, OH 44077-9406 | 2013-10-11 |
| 1871920660 | Healthspan Integrated Care | Emergency Medicine | 10 Severance Cir, Cleveland Hts, OH 44118-1533 | 2013-10-11 |
| 1649607433 | Healthspan Integrated Care | Pediatrics | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2013-10-11 |
| Street Address |
1260 INDEPENDENCE AVE |
| City | AKRON |
| State | OH |
| Zip Code | 44310-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346278306 | Lori A Moore | Specialist | 1260 Independence Ave, Akron, OH 44310-1812 | 2006-06-29 |
| 1508494279 | Erin Tisdale | Nurse Practitioner | 1260 Independence Ave, Akron, OH 44310-1812 | 2020-03-30 |
| 1407314339 | Elizabeth Dru Dodson | Nurse Practitioner | 1260 Independence Ave, Akron, OH 44310-1812 | 2019-03-11 |
| 1326525999 | Sara Pinkerton | Nurse Practitioner | 1260 Independence Ave, Akron, OH 44310-1812 | 2018-07-25 |
| 1639673486 | Debra L. Mckinney | Nurse Practitioner | 1260 Independence Ave, Akron, OH 44310-1812 | 2018-03-19 |
| 1114441888 | Caroline F Klein | Nurse Practitioner | 1260 Independence Ave, Akron, OH 44310-1812 | 2017-08-03 |
| 1629480058 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 1260 Independence Ave, Akron, OH 44310-1812 | 2014-05-20 |
| 1346425147 | Summa Physicians Inc | Internal Medicine | 1260 Independence Ave, Akron, OH 44310-1812 | 2007-12-31 |
| 1457542078 | Carl W Obendorf Jr. | Pharmacist | 1260 Independence Ave, Akron, OH 44310-1812 | 2007-08-08 |
| 1952464455 | Gregory Andrew Harrell | Physical Therapist | 1260 Independence Ave, Akron, OH 44310-1812 | 2006-12-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584085 | Michelle Lynn Lanning | Peer Specialist | 213 E. Glenwood Ave., Akron, OH 44310 | 2020-07-01 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1528558137 | Nortisha Meco Brown-nelson | Social Worker | 1187 Linden Ave, Akron, OH 44310 | 2018-05-18 |
| 1114429123 | Sharon Denise Shell | Home Health Aide | 1307 Brownstone Ave, Akron, OH 44310 | 2018-03-06 |
| 1467961631 | A Door of Hope Center | Early Intervention Provider Agency | 311 Montrose Ave., Akron, OH 44310 | 2017-09-20 |
| 1750809570 | Laura Stover | Counselor | 445 N Main Street, Akron, OH 44310 | 2017-08-31 |
| 1083131817 | Heather Lynne Barger | Counselor | 15 Frederick Avenue, Akron, OH 44310 | 2017-08-23 |
| 1659898377 | Heidi Irene Sirotzki | Peer Specialist | 215 E. Glenwood Ave., Akron, OH 44310 | 2017-08-23 |
| 1013432939 | Veniece Harris | Licensed Practical Nurse | 1469 Alphada Ave, Apt D5, Akron, OH 44310 | 2017-08-11 |
| 1417493289 | Marcella Brooks | Counselor | 445 North Main Street, Akron, OH 44310 | 2017-01-17 |
| Find all providers in zip 44310 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225205 | Tanya Charlene Marshall | Internal Medicine | 1 Akron Avenue, Akron, OH 44307 | 2019-06-24 |
| 1609300961 | Peyman Adeli Sardo | Internal Medicine | 55 Arch Street Ste 1b, Summa Health/ Internal Medicine, Akron, OH 44304-1619 | 2017-04-13 |
| 1558893693 | Melanie Duhamel | Internal Medicine | 762 Eastland Ave Ste 140, Akron, OH 44305 | 2017-03-29 |
| 1659634657 | Rebekka Hom | Internal Medicine | 1 Park West Blvd Ste 200, Akron, OH 44320-4219 | 2012-06-25 |
| 1649545161 | Kathryn Pahls Conlin | Internal Medicine | 593 Mull Ave, Akron, OH 44313 | 2012-03-16 |
| 1659650091 | Chukwuma Soyinka Osifeso | Internal Medicine | One Akron General Avenue, Ste 1505, Akron, OH 44307 | 2011-08-16 |
| 1770872863 | Michael Anthony Fistek | Internal Medicine | 3593 S Arlington Rd Ste A, Akron, OH 44312-5271 | 2011-03-30 |
| 1366753063 | Keaton Michael Bullen | Internal Medicine | 75 Arch St Ste 302, Akron, OH 44304-1432 | 2010-06-28 |
| 1902117625 | Joshua Michael Mcintire | Internal Medicine | 791 White Pond Dr Ste C, Akron, OH 44320-4202 | 2010-06-28 |
| 1801031976 | Daniel Joseph Chua | Internal Medicine | 525 E Market St Ste 3-e, Akron, OH 44304-1619 | 2008-12-03 |
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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.