LANDEN LAKE PEDIATRICS (NPI# 1023029444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023029444 |
| Entity Type | Organization |
| Organization Name | LANDEN LAKE PEDIATRICS |
| Practice Address |
4834 Socialville Foster Rd Mason OH 45040-6826 |
| Practice Telephone | 5133985960 |
| Practice Fax Number | 5134597833 |
| Mailing Telephone | 5133985960 |
| Mailing Fax Number | 5134597833 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JOHN DOSCHER (OWNER) |
| Authorized Official Telephone | 5133985960 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
========= | OH | Ambulatory Health Care Facilities |
| Street Address |
4834 SOCIALVILLE FOSTER RD |
| City | MASON |
| State | OH |
| Zip Code | 45040-6826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881678787 | David D Aichholz | Obstetrics & Gynecology | 4834 Socialville Foster Rd, Suite 60, Mason, OH 45040-6827 | 2005-12-05 |
| 1679910095 | Sarah E Nole Kimani | Nurse Practitioner | 4834 Socialville Foster Rd, Mason, OH 45040-6827 | 2013-05-24 |
| 1558622787 | Taylor Family Dentistry LLC | Dentist | 4834 Socialville Foster Rd, Mason, OH 45040-6827 | 2012-06-05 |
| 1184983942 | Tina Marie Pearson | Advanced Practice Midwife | 4834 Socialville Foster Rd, Mason, OH 45040-6827 | 2012-05-14 |
| 1649577016 | Office Based Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 4834 Socialville Foster Rd, Suite 160, Mason, OH 45040-6827 | 2011-02-22 |
| 1144527060 | Mason Dermatology Center Inc | Dermatology | 4834 Socialville Foster Rd, Suite 20, Mason, OH 45040-6827 | 2011-02-14 |
| 1033448337 | David D. Aichholz Md LLC | Obstetrics & Gynecology | 4834 Socialville Foster Rd, Suite 60, Mason, OH 45040 | 2009-12-15 |
| 1659530376 | Kristine Lynn Cameron | Nurse Practitioner | 4834 Socialville Foster Rd, Suite 20, Mason, OH 45040-6826 | 2008-06-06 |
| 1932113321 | Gregory Lewis Hornung | Dentist | 4834 Socialville Foster Rd, Suite 40, Mason, OH 45040-6826 | 2006-07-28 |
| 1316960438 | Gregory P. Davis | Dentist | 4834 Socialville Foster Rd, 30c, Mason, OH 45040-6826 | 2006-07-26 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754569 | Integrative Medicine & Virtualcare Plus LLC | Clinic/Center | 5212a Kings Mills Rd # 529, Mason, OH 45040-2319 | 2019-11-07 |
| 1003382243 | Ourhealth Physician Group, LLC | Clinic/Center | 2188 Kings Mills Rd, Mason, OH 45040-2400 | 2018-10-15 |
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|---|---|---|---|---|
| 1104426279 | Next Direct | Clinic/Center | 8250 Kenwood Crossing Way Ste 201, Cincinnati, OH 45236-3669 | 2020-10-28 |
| 1013520014 | Chrysalis Health and Wellness | Clinic/Center | 1005 E State St Ste E, Athens, OH 45701-2151 | 2020-08-28 |
| 1811507668 | Priority Medical Family Practice, LLC | Clinic/Center | 1128 Linden Ave, Zanesville, OH 43701-2908 | 2020-08-06 |
| 1932727849 | Muskingum Valley Health Centers | Clinic/Center | 915 Putnam Ave, Zanesville, OH 43701-5547 | 2020-07-07 |
| 1790309284 | Emerika Mobile Health LLC | Clinic/Center | 28 Park Ave W Ste 701, Mansfield, OH 44902-1640 | 2020-06-01 |
| 1477175768 | Virtue Wellness, LLC | Clinic/Center | 7660 Silver Fox Dr, Columbus, OH 43235-1835 | 2020-05-11 |
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1750926317 | Neuroradiance Integrative Health Initiative, Ltd | Clinic/Center | 110 Polaris Pkwy Ste 120, Westerville, OH 43082-8028 | 2019-11-07 |
| 1912558669 | Careatc | Clinic/Center | 132 Artino St Ste 14, Oberlin, OH 44074-1206 | 2019-09-24 |
| 1598313249 | Torrence Hands Healthcare LLC | Clinic/Center | 3440 Avalon Road Apt 204, Shaker Hts, OH 44120 | 2019-08-27 |
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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.