ROMEO S. MICLAT, M.D., INC (NPI# 1972669463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972669463 |
| Entity Type | Organization |
| Organization Name | ROMEO S. MICLAT, M.D., INC |
| Practice Address |
1060 N Abbe Road Elyria OH 44035 |
| Practice Telephone | 4403659371 |
| Practice Fax Number | 4403666033 |
| Mailing Telephone | 4403659371 |
| Mailing Fax Number | 4403666033 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-05-01 |
| Authorized Official Name | DR. ROMEO S MICLAT (PHYSICIAN) |
| Authorized Official Telephone | 4403659371 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35-038552 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 35-038553 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
35-038553 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE NUMBER | 35-038553 | 01 |
| OH | RAILROAD MEDICARE | CG6814 | 01 |
| OH | ANTHEM NEPH | 000000498009 | 01 |
| OH | ANTHEM IM | 000000498011 | 01 |
| OH | 2079656 | 05 |
| Street Address |
1060 N ABBE ROAD |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1982047205 | Adedeji Oluwatosin Sodeinde | Internal Medicine | 1170 E Broad St Ste 102, Elyria, OH 44035-6351 | 2013-04-17 |
| 1275722894 | Nesdininc. | Internal Medicine | 5311 Meadow Lane Ct, Ste 3, Elyria, OH 44035-1485 | 2007-10-19 |
| 1285664607 | Ahmed Fawzy | Internal Medicine | 1170 E Broad St, Suite 102, Elyria, OH 44035-6351 | 2006-07-03 |
| 1871529321 | North Coast Nephrology | Internal Medicine | 1170 E Broad St, Suite 2, Elyria, OH 44035-6351 | 2006-06-25 |
| 1598791238 | Vivek Nadkarni | Internal Medicine | 1170 E Broad St, Ste 102, Elyria, OH 44035-6351 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958500 | Cleveland Kidney Care, LLC | Internal Medicine | 5 Eleven Riv, Rocky River, OH 44116-1777 | 2020-07-02 |
| 1376187880 | Muhammad Tariq Baig | Internal Medicine | 2323 River Oaks Dr, Columbus, OH 43228-9165 | 2019-10-29 |
| 1699233221 | Ideal Vascular Centers LLC | Internal Medicine | 20455 Lorain Rd Ste T1, Fairview Park, OH 44126-3495 | 2019-03-02 |
| 1932677515 | Elizabeth Kidder Grames | Internal Medicine | 2702 Navarre Ave Ste 201, Oregon, OH 43616-3224 | 2018-11-13 |
| 1578057865 | Govani Kidney Care LLC | Internal Medicine | 15644 Madison Ave Ste 211, Lakewood, OH 44107-5622 | 2018-06-19 |
| 1205280906 | Rtr Nephrology | Internal Medicine | 7600 Affinity Place, Cincinnati, OH 45231-3535 | 2016-04-19 |
| 1922477835 | Adult Hypertension and Kidney Specialists LLC | Internal Medicine | 2200 N Limestone Street Suite 114, Springfield, OH 45503-1171 | 2015-09-21 |
| 1144615220 | Mansur Pathan | Internal Medicine | 655 Fox Run Rd Ste C, Findlay, OH 45840-8401 | 2015-04-05 |
| 1417364712 | Tarun Mittal | Internal Medicine | Univ of Cincinnati Division of Nephrology, 231 Albert Sabin Way, Cincinnati, OH 45267-0585 | 2014-07-18 |
| 1457793150 | Vinay Mulkanoor | Internal Medicine | 595 Copeland Mill Rd Ste 2d, Westerville, OH 43081 | 2013-07-23 |
| 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.