Stephanie L Rodriguez (NPI# 1235647033, PAC ID# 9335400860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1235647033 |
| PAC ID by PECOS | 9335400860 |
| Professional Enrollment ID | I20180226002130 |
| Full Name | Stephanie L Rodriguez |
| Organization Legal Name | MERCY HEALTH PHYSICIANS LIMA, LLC |
| Address |
967 Bellefontaine Ave Lima OH 45804-2888 |
| Phone Number | 4199965895 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3375607351 |
| Number of Group Practice Members | 215 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360066 | ST RITA'S MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 967 Bellefontaine Ave, Lima, OH 45804-2888 | 4199965895 | MERCY HEALTH PHYSICIANS LIMA, LLC |
| 25660 Dixie Hwy, Perrysburg, OH 43551-2167 | 4198725343 | GREAT LAKES MEDICAL SERVICES LLC |
| 3255 Levis Commons Blvd, Perrysburg, OH 43551-7145 | 4198740393 | MOBILE MEDICAL INC |
| Organization Legal Name | MERCY HEALTH PHYSICIANS LIMA, LLC |
| Physicians | 190 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Ann Beckett-avery | Clinical Social Worker | Mercy Health Physicians Lima, LLC | 582 N Cable Rd, Lima, OH 45805-2133 |
| Dale W Case | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 2195 Allentown Rd, Lima, OH 45805-1705 |
| Jami J Blackburn | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 2745 Fort Amanda Rd, Lima, OH 45805-4805 |
| Jessica England | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 604 W N Ave, Ada, OH 45810-1041 |
| Danielle R Westrick | Family Medicine | Mercy Health Physicians Lima, LLC | 1800 E 5th St, Suite 1, Delphos, OH 45833-9180 |
| Brenda K Fish | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 3224 Jarvis Dr, Lima, OH 45807 |
| Garrison Vasile Morin | Otolaryngology | Mercy Health Physicians Lima, LLC | 770 W High St, Suite 460, Lima, OH 45801-5908 |
| Anil K Muddada | Nephrology | Mercy Health Physicians Lima, LLC | 1207 E Columbus St, Kenton, OH 43326-1760 |
| Susan E Hamilton | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 803 W Market St, Suite 200, Lima, OH 45805-2796 |
| Eric Amstutz | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 825 W High St, Suite 205, Lima, OH 45801-3983 |
| Street Address |
967 BELLEFONTAINE AVE |
| City | LIMA |
| State | OH |
| Zip | 45804-2888 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen P Casebolt | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 967 Bellefontaine Ave, Lima, OH 45804-2888 |
| Lance R Neeley | Nurse Practitioner | Mercy Health Physicians Lima, LLC | 967 Bellefontaine Ave, Lima, OH 45804-2888 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Praveena Prasai-sharma | Nurse Practitioner | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Erin Np Miller | Nurse Practitioner | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Robert A Crook | Clinical Social Worker | Family Resource Center of Northwest Ohio Inc | 530 S Main St, Lima, OH 45804-1240 |
| Lori Acerro | Clinical Social Worker | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Kelly Jean Kunkler | Nurse Practitioner | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Steven Mates | Nurse Practitioner | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Kimberly Butler | Clinical Social Worker | Coleman Professional Services, Inc. | 799 S Main St, Lima, OH 45804-1519 |
| Shannon R Wesley | Colorectal Surgery (proctology) | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Noorul H Khan | General Surgery | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Susan Morris | Family Medicine | Lima Memorial Professional Corporation | 1003 Bellefontaine Ave, Suite 125, Lima, OH 45804-1867 |
| Find all physicians in zip 45804 | |||
| City | LIMA |
| Zip Code | 45804 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LIMA + 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.