ELISA BADDOUR (NPI# 1982120101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982120101 |
| Entity Type | Individual |
| Full Name | ELISA BADDOUR |
| Credential | PHARMD |
| Practice Address |
19324 Detroit Rd Rocky River OH 44116-1802 |
| Practice Telephone | 4403563640 |
| Mailing Telephone | 2163088714 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2020-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
03135700 | OH | Pharmacy Service Providers |
| Street Address |
19324 DETROIT RD |
| City | ROCKY RIVER |
| State | OH |
| Zip Code | 44116-1802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811096746 | David M Brill | Family Medicine | 19324 Detroit Rd, Rocky River, OH 44116-1802 | 2006-09-21 |
| 1295379006 | Gina Digeronimo | Nurse Practitioner | 19324 Detroit Rd, Rocky River, OH 44116-1802 | 2019-11-05 |
| 1942731088 | Kevin Christopher | Family Medicine | 19324 Detroit Rd, Rocky River, OH 44116-1802 | 2017-03-21 |
| 1467800045 | Chad Mccain | Family Medicine | 19324 Detroit Rd, Rocky River, OH 44116-5219 | 2016-05-24 |
| 1255746103 | Harkiran Saini | Family Medicine | 19324 Detroit Rd, Rocky River, OH 44116-1802 | 2014-06-29 |
| 1215144506 | Amber Stonehouse Tully | Family Medicine | 19324 Detroit Rd, Rocky River, OH 44116-1802 | 2007-05-17 |
| 1730304304 | Cory M Fisher | Family Medicine | 19324 Detroit Rd, Rocky River, OH 44116-1802 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902319148 | Cory Randall Lamar | Chiropractor | 21820 Center Ridge Rd, Rocky River, OH 44116 | 2017-11-09 |
| 1376065722 | Cle Physical Therapy LLC | Physical Therapy Assistant | 20340 Center Ridge Road, Rocky River, OH 44116 | 2017-07-07 |
| 1649709056 | Kevin Skrzyniecki | Physical Therapist | 2651 Hampton Rd, Rocky River, OH 44116 | 2017-06-08 |
| 1144610163 | Meagan Prost | Counselor | 20525 Detroit Rd Ste 8, Rocky River, OH 44116 | 2015-01-28 |
| 1760813984 | Mary Jo Mcnamara | Registered Nurse | 1724 Wooster Rd, Rocky River, OH 44116 | 2013-12-13 |
| 1093157232 | Rebecca M Kondrich | Social Worker | 20088 Center Ridge Rd Ste 101, Rocky River, OH 44116 | 2013-07-29 |
| 1326481169 | Sara A. Schrecengost | Counselor | 20800 Center Ridge Road, Suite 401, Rocky River, OH 44116 | 2013-04-11 |
| 1164764718 | Walter S Grossman | Dentist | 20575 Center Ridge Road, Suite 400, Rocky River, OH 44116 | 2013-03-21 |
| 1255654794 | Gregory L Chaplin | Physical Therapist | 2921 Lakeview Avenue, Rocky River, OH 44116 | 2010-03-11 |
| 1730325069 | Holly Elizabeth Kirk | Counselor | 20525 Center Ridge Rd Ste 403, Rocky River, OH 44116 | 2008-12-16 |
| Find all providers in zip 44116 | ||||
| Taxonomy Code | 1835P2201X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Ambulatory Care |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in the provision of integrated, accessible health care services by pharmacists and is accountable for addressing medication needs, developing sustained partnerships with patients, and practicing in the context of family and community. |
| Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [7/1/2015: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719309 | Susan E Jilek | Pharmacist | 1600 E Riverview Ave Ste 109, Napoleon, OH 43545-9805 | 2020-07-31 |
| 1336795988 | Yuexing Li | Pharmacist | 2490 Bethel Rd, Columbus, OH 43220-2293 | 2019-08-09 |
| 1346708302 | Cathy Ann Rozzi | Pharmacist | 6615 Clingan Rd Ste B, Poland, OH 44514-2196 | 2019-03-08 |
| 1629598768 | Gina Ayers | Pharmacist | 10685 Carnegie Ave Bldg X10, Cleveland, OH 44106-3018 | 2017-06-20 |
| 1942736038 | Rada Duplik | Pharmacist | 32565 Stonybrook Lane, Solon, OH 44139 | 2017-05-10 |
| 1043754716 | Angela Sanders | Pharmacist | 7412 Meadow Brooke Way, Northfield, OH 44067-4000 | 2016-12-14 |
| 1992249254 | Richard Lawrence Genovese | Pharmacist | 668 Corkhill Rd Apt 803a, Bedford, OH 44146-3487 | 2016-12-06 |
| 1942743927 | Anna Grabowski | Pharmacist | 9500 Euclid Ave # Jjn-10, Cleveland, OH 44195-0001 | 2016-11-23 |
| 1992248264 | Navjot Mahal | Pharmacist | 4728 Springwood Dr, Brooklyn, OH 44144 | 2016-11-18 |
| 1154873156 | Alyssa Sneed | Pharmacist | 9500 Euclid Ave # Hb-3, Cleveland, OH 44195-0001 | 2016-10-26 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY RIVER |
| Zip Code | 44116 |
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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.