ELIZABETH MUSOLF (NPI# 1003816869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003816869 |
| Entity Type | Individual |
| Full Name | ELIZABETH MUSOLF |
| Credential | CPNP |
| Practice Address |
22614 W State Route 51 Genoa OH 43430-1143 |
| Mailing Address |
Po Box 378 Sandusky OH 44871-0378 |
| Practice Telephone | 4198557772 |
| Practice Fax Number | 4198554800 |
| Mailing Telephone | 4196091112 |
| Mailing Fax Number | 4196091123 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | 05183 | OH | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
COA.05183-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4664546 | 05 | |
| OH | 2196243 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1037 Conneaut Ave, Suite 203, Bowling Green, OH 434025301 | 4193543295 | 4193543297 |
| Street Address |
22614 W STATE ROUTE 51 |
| City | GENOA |
| State | OH |
| Zip Code | 43430-1143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346235710 | Mark Christopher Nadaud | Family Medicine | 22614 W State Route 51, Genoa, OH 43430-1143 | 2005-09-13 |
| 1750374070 | Genoa Medical Center | Family Medicine | 22614 W State Route 51, Genoa, OH 43430-1143 | 2005-08-23 |
| 1669465985 | Aaron Martin Meinke | Family Medicine | 22614 W State Route 51, Genoa, OH 43430-1143 | 2005-08-23 |
| 1578556890 | Neiman Toufek Odeh | Emergency Medicine | 22614 W State Route 51, Genoa, OH 43430-1143 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821340605 | Tina M Helle | Licensed Practical Nurse | 23861 W Meadow Dr, Genoa, OH 43430-1029 | 2012-10-04 |
| 1417989575 | Mark E Rich | Chiropractor | 23285 State Route 51 W, Genoa, OH 43430-1042 | 2006-07-07 |
| 1801168596 | Rich Chiropractic Center, Inc. | Chiropractor | 23285 State Route 51 W, Genoa, OH 43430-1042 | 2012-01-27 |
| 1700034279 | Debra S Dibert | Pharmacist | 21991 W State Route 51, Genoa, OH 43430-1251 | 2008-09-08 |
| 1457460792 | Lane Drug Co | Durable Medical Equipment & Medical Supplies | 21991 West State Route 51, Genoa, OH 43430-1251 | 2006-08-30 |
| 1639594849 | Jennifer Dirnberg | Occupational Therapist | 22020 W State Route 51, Suite A, Genoa, OH 43430-1254 | 2014-02-25 |
| 1447887971 | Connor L Kenney | Student in an Organized Health Care Education/Training Program | 904 Washington St, Genoa, OH 43430-1430 | 2020-03-25 |
| 1356449235 | Nancy L Kreager | Physical Therapist | 1515 Main St, Genoa, OH 43430-1469 | 2006-09-21 |
| 1306847157 | William Kegerize | Optometrist | 603 Main St, Genoa, OH 43430-1635 | 2005-08-02 |
| 1972834307 | William Kegerize Od LLC | Exclusive Provider Organization | 603 Main St, Genoa, OH 43430-1635 | 2010-01-25 |
| Find all providers in zip 43430 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264675 | House Calls for Kids, LLC | Nurse Practitioner | 308 Taft St, Columbus Grove, OH 45830-1122 | 2020-10-28 |
| 1225637150 | Leesha Paulus | Nurse Practitioner | 7984 Windward Trace Cir Nw, Massillon, OH 44646-1176 | 2020-10-21 |
| 1861008948 | Amanda Marie Allmon | Nurse Practitioner | 5669 New Albany Rd W, New Albany, OH 43054-7589 | 2020-09-23 |
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1720640089 | Marybeth Kathleen Hannum | Nurse Practitioner | 6076 Whipple Ave Nw, North Canton, OH 44720-7616 | 2019-07-07 |
| 1558832758 | Kisandra Leigh Sanders | Nurse Practitioner | 3500 Wild Cherry Ave, Celina, OH 45822-2747 | 2018-12-16 |
| 1851869598 | Whitney Stine | Nurse Practitioner | 410 W 10th Ave Fl 7, Columbus, OH 43210-1240 | 2018-11-12 |
| 1194291070 | Helena Horwitz | Nurse Practitioner | 7200 Poe Ave Ste 201, Dayton, OH 45414-2799 | 2018-10-18 |
| 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.