CLIFFORD QUINN CABANSAG (NPI# 1003065905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003065905 |
| Entity Type | Individual |
| Full Name | CLIFFORD QUINN CABANSAG |
| Credential | MD |
| Practice Address |
4075 Old Western Row Rd Mason OH 45040-3104 |
| Practice Telephone | 5135360232 |
| Practice Fax Number | 5135360609 |
| Mailing Telephone | 5135360232 |
| Mailing Fax Number | 5135360609 |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2015-03-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
35.099392 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
4075 OLD WESTERN ROW RD |
| City | MASON |
| State | OH |
| Zip Code | 45040-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793220 | Carol Blankemeyer Dewald | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2005-07-11 |
| 1477171346 | Kimberly Spivey | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2020-07-08 |
| 1154989663 | Jessica Lynn Kraft | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2019-05-30 |
| 1447816905 | Allison Mecca | Psychologist | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2019-05-10 |
| 1407353618 | Erin Catherine Snider | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040 | 2018-04-12 |
| 1356849384 | Stephanie Paige Kisling | Case Manager/Care Coordinator | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2018-01-24 |
| 1982127122 | Danielle Beltz | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-07-19 |
| 1023539517 | Anna Ward | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-07-05 |
| 1912433574 | Jennifer Milau | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-05-02 |
| 1215476767 | Jennifer B Wilcox | Psychologist | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861916330 | First Horizon Solutions, LLC | Internal Medicine | 3730 Tabs Dr Ste 102, Uniontown, OH 44685-9562 | 2017-07-27 |
| 1558800193 | Cleanslate Medical Group of Ohio LLC | Internal Medicine | 4488 W Broad St Ste 3, Columbus, OH 43228-5610 | 2017-02-15 |
| 1841238094 | Christopher T. Meyer | Internal Medicine | 75 Hospital Dr Ste 350, Athens, OH 45701-2867 | 2006-06-02 |
| 1417933490 | James Frederick Guenther | Internal Medicine | 1319 E Main St, Lancaster, OH 43130-4005 | 2005-12-21 |
| 1528051661 | Cynthia L Brown | Internal Medicine | 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 | 2005-08-24 |
| 1639170509 | Patrick Bruno | Internal Medicine | 3535 Lee Rd, Shaker Heights, OH 44120-5122 | 2005-08-02 |
| 1649279373 | Anthony Dean Agra | Internal Medicine | 547 E 11th Ave, Columbus, OH 43211-2603 | 2005-07-15 |
| 1245233345 | Parag J Patel | Internal Medicine | 446 Morgan St, Cincinnati, OH 45206-2348 | 2005-05-23 |
| 1790382752 | Keyona Shine | Internal Medicine | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2020-10-02 |
| 1902413677 | Stacey Whitesel | Internal Medicine | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2020-09-28 |
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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.