EDEN MEDICAL GROUP LLC (NPI# 1043743032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043743032 |
| Entity Type | Organization |
| Organization Name | EDEN MEDICAL GROUP LLC |
| Practice Address |
401 N Broadway St Green Springs OH 44836-9653 |
| Practice Telephone | 7329950905 |
| Mailing Telephone | 7329950905 |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |
| Authorized Official Name | MAYER SPILMAN (MANAGING MEMBER) |
| Authorized Official Telephone | 7329950905 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
401 N BROADWAY ST |
| City | GREEN SPRINGS |
| State | OH |
| Zip Code | 44836-9653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013555127 | Green Springs Health & Rehab LLC | Skilled Nursing Facility | 401 N Broadway St, Green Springs, OH 44836-9653 | 2019-12-19 |
| 1336690726 | Eden Springs Nursing and Rehabilitation West LLC | Skilled Nursing Facility | 401 N Broadway St, Suite 225, Green Springs, OH 44836-9653 | 2016-10-20 |
| 1427423193 | Elmwood Management, Ltd. | Pharmacy | 401 N Broadway St, Green Springs, OH 44836-9653 | 2015-12-07 |
| 1003289422 | Christina Bell | Pharmacist | 401 N Broadway St, Green Springs, OH 44836-9653 | 2015-11-06 |
| 1245651421 | Kimberly Payne | Physical Therapy Assistant | 401 N Broadway St, Green Springs, OH 44836-9653 | 2013-12-14 |
| 1003124454 | Elmwood of Green Springs, Ltd. | Long Term Care Hospital | 401 N Broadway St, Green Springs, OH 44836-9653 | 2010-09-20 |
| 1134453194 | Elmwood of Green Springs, Ltd. | Long Term Care Hospital | 401 N Broadway St, Green Springs, OH 44836-9653 | 2009-09-23 |
| 1275607749 | St. Francis Health Care Centre | Durable Medical Equipment & Medical Supplies | 401 N Broadway St, Green Springs, OH 44836-9653 | 2006-11-17 |
| 1326139643 | Patricia A Fertig | Occupational Therapist | 401 N Broadway St, Green Springs, OH 44836-9653 | 2006-09-28 |
| 1982795217 | Brenda E Kralik | Occupational Therapist | 401 N Broadway St, Green Springs, OH 44836-9653 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104098870 | Elmwood Village | Intermediate Care Facility, Mentally Retarded | 222 Academy St, Green Springs, OH 44836 | 2008-04-02 |
| 1164523676 | Kristen Elizabeth Sabol | Physical Therapist | 3101 W Us Rt 224, Tiffin, OH 44836 | 2006-09-26 |
| 1457441826 | Wynn-reeth, Inc. | Day Training, Developmentally Disabled Services | 137 South Broadway Street, Green Springs, OH 44836-0785 | 2006-10-13 |
| 1053639013 | Minde R. Freeze | Nurse's Aide | 3362 E County Road 113, Green Springs, OH 44836-9002 | 2010-05-14 |
| 1982028825 | Julie Falter | Speech-Language Pathologist | 420 N Broadway St, Green Springs, OH 44836-9601 | 2014-02-12 |
| 1306879432 | Elmwood Centers, Inc | Skilled Nursing Facility | 430 N Broadway St, Green Springs, OH 44836-9601 | 2006-07-09 |
| 1033480801 | Elmwood Home Health & Hospice | Hospice, Inpatient | 430 N Broadway St, Green Springs, OH 44836-9601 | 2012-01-25 |
| 1669743431 | Elmwood Home Health & Hospice Ltd | Hospice Care, Community Based | 430 N Broadway St, Green Springs, OH 44836-9601 | 2012-01-25 |
| 1417227208 | Elmwood Home Health & Hospice, Ltd. | Home Health | 430 N Broadway St, Green Springs, OH 44836-9601 | 2012-01-10 |
| 1730275579 | Elmwood Centers | Assisted Living Facility | 430 N Broadway St, Green Springs, OH 44836-9601 | 2006-10-05 |
| Find all providers in zip 44836 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1477151660 | Health Monitoring Solutions | Internal Medicine | 15400 Pearl Rd Ste 230, Strongsville, OH 44136-6001 | 2020-10-12 |
| 1386250975 | Strong Healthcare Solutions LLC | Internal Medicine | 4105 Emmajean Rd, Toledo, OH 43607-1073 | 2020-09-18 |
| 1972115277 | Basel Bazerbachi | Internal Medicine | Cleveland Clinic Foundation 9500 Euclid Ave Na-23, Cleveland, OH 44195-0001 | 2020-08-18 |
| 1174131312 | Hyr Medical Inc | Internal Medicine | 675 Alpha Dr, Highland Heights, OH 44143-2139 | 2020-07-14 |
| 1447878806 | Sprholdings, LLC | Internal Medicine | 885 Damon Dr, Medina, OH 44256-2009 | 2020-07-10 |
| 1720609217 | Willglowe Health Services, Inc | Internal Medicine | 2201 E Maple St, North Canton, OH 44720-9997 | 2020-05-06 |
| 1316567209 | Maria Veronica De Torres Mirano-de Guzman | Internal Medicine | St. Elizabeth Youngstown Hospital, Department of Medic, 1044 Belmont Ave, Youngstown, OH 44501 | 2020-04-21 |
| 1386263614 | Gene Thomas Michael | Internal Medicine | 2401 N Columbus St Ste 260, Lancaster, OH 43130-8296 | 2020-04-16 |
| 1184244485 | Imthiaz Mohammed Khan | Internal Medicine | 2405 N Columbus St Ste 260, Lancaster, OH 43130-8100 | 2020-04-16 |
| 1710506670 | Shyam Patel | Internal Medicine | 381 Summit Ave, Steubenville, OH 43952 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
| City | GREEN SPRINGS |
| Zip Code | 44836 |
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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.