Somer Wallace (NPI# 1992284731, PAC ID# 5496007171) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992284731 |
| PAC ID by PECOS | 5496007171 |
| Professional Enrollment ID | I20181008001594 |
| Full Name | Somer Wallace |
| Organization Legal Name | OHIO NORTH EAST HEALTH SYSTEMS INC |
| Address |
1977 Niles Rd Se Warren OH 44484-5118 |
| Phone Number | 3303936446 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951395086 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360161 | ST JOSEPH WARREN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1977 Niles Rd Se, Warren, OH 44484-5118 | 3303936446 | OHIO NORTH EAST HEALTH SYSTEMS INC |
| 726 Wick Ave, Youngstown, OH 44505-2827 | 3307479551 | OHIO NORTH EAST HEALTH SYSTEMS INC |
| Organization Legal Name | OHIO NORTH EAST HEALTH SYSTEMS INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John Michael Jerome | Nurse Practitioner | Ohio North East Health Systems Inc | 716 Tod Ave Sw, Warren, OH 44485-3608 |
| Gabrielle M Monk | Registered Dietitian Or Nutrition Professional | Ohio North East Health Systems Inc | 1977 Niles Rd Se, Warren, OH 44484-5118 |
| David J Sansoterra | Pediatric Medicine | Ohio North East Health Systems Inc | 1821 E Market St, Warren, OH 44483-6627 |
| Christy Barnes | Nurse Practitioner | Ohio North East Health Systems Inc | 726 Wick Ave, Youngstown, OH 44505-2827 |
| Maria Kowal | Pediatric Medicine | Ohio North East Health Systems Inc | 3132 Belmont Ave, Suite B, Youngstown, OH 44505-1838 |
| Charles Mcgowen | Internal Medicine | Ohio North East Health Systems Inc | 175 E Broad St, Newton Falls, OH 44444-1708 |
| Stephanie Lynn Huston | Nurse Practitioner | Ohio North East Health Systems Inc | 726 Wick Ave, Youngstown, OH 44505-2827 |
| Aron Blecher | Internal Medicine | Ohio North East Health Systems Inc | 726 Wick Ave, Youngstown, OH 44505-2827 |
| Mohammad Rizwan Minhas | Family Medicine | Ohio North East Health Systems Inc | 726 Wick Ave, Youngstown, OH 44505-2827 |
| Richard A Bailey | Physician Assistant | Ohio North East Health Systems Inc | 1977 Niles Rd Se, Warren, OH 44484-5118 |
| Street Address |
1977 NILES RD SE |
| City | WARREN |
| State | OH |
| Zip | 44484-5118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gabrielle M Monk | Registered Dietitian Or Nutrition Professional | Ohio North East Health Systems Inc | 1977 Niles Rd Se, Warren, OH 44484-5118 |
| Richard A Bailey | Physician Assistant | Ohio North East Health Systems Inc | 1977 Niles Rd Se, Warren, OH 44484-5118 |
| Christopher Matthew Broderick | Nurse Practitioner | Ohio North East Health Systems Inc | 1977 Niles Rd Se, Warren, OH 44484-5118 |
| Allison M Bottorff | Nurse Practitioner | Ohio North East Health Systems Inc | 1977 Niles Rd Se, Warren, OH 44484-5118 |
| Francesca M Divito | Nurse Practitioner | Ohio North East Health Systems Inc | 1977 Niles Rd Se, Warren, OH 44484-5118 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Neuman | Otolaryngology | 349 Niles-cortland Rd Ne, Warren, OH 44484 | |
| Chad Aaron Shultz | Optometry | Eye Care Associates, Inc | 4060 N River Rd Ne, Warren, OH 44484-1039 |
| John P Aey | Ophthalmology | Eye Care Associates, Inc | 4060 N River Rd Ne, Warren, OH 44484-1039 |
| Nicholas George Lawrence | Optometry | Eye Care Associates, Inc | 4060 N River Rd Ne, Warren, OH 44484-1039 |
| Thomas M Grischow | Optometry | Eye Care Associates, Inc | 4060 N River Rd Ne, Warren, OH 44484-1039 |
| Marisa M Wynne | Pain Management | Mercy Health Physicians Youngstown, LLC | 1934 Niles Cortland Rd Ne, Suite B, Warren, OH 44484-1055 |
| Douglas W Crush | Psychologist, Clinical | Mercy Health Physicians Youngstown, LLC | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 |
| Carmela Kiraly | Sleep Medicine | Mercy Health Physicians Youngstown, LLC | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 |
| Consandre Romain | General Surgery | Mercy Health Physicians Youngstown, LLC | 1932 Niles Cortland Rd Ne, Warren, OH 44484-1055 |
| Jared D Bunevich | Otolaryngology | Mercy Health Physicians Youngstown, LLC | 1932 Niles Cortland Rd Ne, Suite B, Warren, OH 44484-1055 |
| Find all physicians in zip 44484 | |||
| City | WARREN |
| Zip Code | 44484 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WARREN + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.