FALLON MARLENE FERRARI (NPI# 1023657780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023657780 |
Entity Type | Individual |
Full Name | FALLON MARLENE FERRARI |
Credential | PA-C |
Practice Address |
33300 Cleveland Clinic Blvd Avon OH 44011-1172 |
Mailing Address |
3599 Vineyard Haven Dr Apt B Loveland OH 45140-3672 |
Practice Telephone | 4406955000 |
Mailing Telephone | 4124803246 |
Enumeration Date | 2019-12-29 |
Last Update Date | 2019-12-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50.006224RXO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
33300 CLEVELAND CLINIC BLVD |
City | AVON |
State | OH |
Zip Code | 44011-1172 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689640948 | Scott D. Petersen | Physician Assistant | 33300 Cleveland Clinic Blvd, Mail Code Avh4-143, Avon, OH 44011 | 2006-02-27 |
1386205615 | Christopher John Ranc | Physician Assistant | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 | 2019-06-26 |
1902369135 | Ashley Carolyn Portale | Physician Assistant | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 | 2019-04-14 |
1598223729 | Christina Marie Watkins | Nurse Practitioner | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 | 2019-03-06 |
1699248187 | Moriah Buckley Jamison | Physician Assistant | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 | 2019-01-07 |
1316419013 | Ela Mici | Nurse Practitioner | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 | 2018-12-19 |
1235613001 | Krystal Ashley Schmitt | Nurse Practitioner | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 | 2018-09-18 |
1881173912 | Erica Barb | Nurse Practitioner | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1172 | 2018-08-09 |
1477092625 | Alexis Dobbs | Physician Assistant | 33300 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2017-02-21 |
1063957769 | Linda Bartko | Nurse Practitioner | 33300 Cleveland Clinic Blvd, Avon, OH 44011-5733 | 2017-01-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750845889 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 1810 Nagel Rd, Avon, OH 44011 | 2019-01-23 |
1548758782 | Stacey L Yanetta | Social Worker | Avon-richard E. Jacobs Health Center, 33100 Cleveland Clinic Blvd, Avon, OH 44011 | 2018-04-24 |
1073054540 | Timothy Weitzel | Social Worker | 36419 Edenhall Terrace, Avon, OH 44011 | 2017-03-16 |
1568829059 | Jessica Ryan Springer | Nurse Practitioner | 36130 N Park Dr, Avon, OH 44011 | 2016-01-28 |
1962879569 | Cleveland Clinic Rehabilitation Hospitals, LLC | Rehabilitation Hospital | 33355 Health Campus Boulevard, Avon, OH 44011 | 2015-08-31 |
1619373024 | Avon Healthcare Center, Inc. | Skilled Nursing Facility | 37845 Colorado Avenue, Avon, OH 44011 | 2014-11-12 |
1508272543 | Samantha Willi | Counselor | 37040 Colorado Ave, Avon, OH 44011 | 2014-07-10 |
1336572791 | Todd Bernard | Dentist | 37701 Colorado Ave Ste E, Avon, OH 44011 | 2013-08-20 |
1245550730 | Kenneth Charles Hohmeier | Pharmacist | 38530 Chester Road, Suite 400, Avon, OH 44011 | 2010-06-07 |
1760712343 | Avon Local School District | Local Education Agency (LEA) | 36600 Detroit Road, Avon, OH 44011 | 2010-01-05 |
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Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639372063 | Betsy J Simpson | Physician Assistant | 1115 Ronald Reagan Pkwy Ste 329, Avon, IN 46123-6914 | 2007-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
1710348701 | Alex Blake | Physician Assistant | 10743 S State Route 133, Blanchester, OH 45107-9435 | 2016-03-17 |
1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
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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.