STAWA RAJAB BLANCO (NPI# 1073126314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073126314 |
| Entity Type | Individual |
| Full Name | STAWA RAJAB BLANCO |
| Practice Address |
4900 Delhi Rd Cincinnati OH 45238-5345 |
| Practice Telephone | 5138234932 |
| Mailing Telephone | 5128349320 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | CNP-0026867 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
4900 DELHI RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45238-5345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860588 | Corey Allison | Case Manager/Care Coordinator | 312 Glenmore Ave. Ste 14, Cincinnati, OH 45238 | 2020-10-29 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1639715808 | Bullock Dialysis LLC | Clinic/Center | 2290 Ferguson Rd, Cincinnati, OH 45238 | 2019-11-22 |
| 1629547021 | Abigail M Rebholz | Speech-Language Pathologist | 2039 Anderson Ferry Rd, Cincinnati, OH 45238 | 2018-11-15 |
| 1942667548 | Lashawnda C Gaston | Military Health Care Provider | 1322 Le Mar Dr, Cincinnati, OH 45238 | 2016-01-27 |
| 1134598402 | Abbie Crookham | Registered Nurse | 2146 Ferguson Rd., Cincinnati, OH 45238 | 2015-09-17 |
| 1518341346 | Kenyatta Shena Mccrary | Home Health Aide | 831 Greenwich Ave, Cincinnati, OH 45238 | 2015-07-10 |
| 1225431893 | Brooke Whalen | Dental Assistant | 2146 Ferguson Road, Cincinnati, OH 45238 | 2014-09-26 |
| 1669885588 | Moussa Demba | Medicare Defined Swing Bed Unit | 2484 Queen City Ave Apt 7, Cincinnati, OH 45238 | 2014-06-09 |
| 1811335961 | Kelly G Mirus | Specialist/Technologist | 5161 Ralph Ave, Cincinnati, OH 45238 | 2013-06-11 |
| Find all providers in zip 45238 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861021016 | Md360, LLC | Family Medicine | 4605 E Galbraith Rd Ste 110, Cincinnati, OH 45236-2887 | 2020-04-08 |
| 1851942700 | Eastside Family Care, LLC | Family Medicine | 872 Ohio Pike Ste B, Cincinnati, OH 45245-2204 | 2019-09-23 |
| 1669932224 | Andrea Marie Rosado | Family Medicine | 2123 Auburn Ave Ste 340, Cincinnati, OH 45219-2906 | 2019-03-20 |
| 1386109783 | Pamela Dawn Holland | Family Medicine | 626 Arlington Dr, Cincinnati, OH 45244-1310 | 2019-02-10 |
| 1427554682 | Laura Ledvora | Family Medicine | 2139 Auburn Ave Ste 235, Cincinnati, OH 45219-2906 | 2018-04-04 |
| 1609394907 | Maureen Elizabeth Rooney | Family Medicine | 7502 State Rd Ste 3350, Cincinnati, OH 45255-2801 | 2017-09-07 |
| 1396267530 | Midwest Health Group LLC | Family Medicine | 1420 E Mcmillan St Fl 3, Cincinnati, OH 45206-2225 | 2017-07-10 |
| 1508392671 | Jennifer Lynn Bauer | Family Medicine | 1128 Gracewind Ct, Cincinnati, OH 45231-4604 | 2017-05-10 |
| 1073977740 | Michael Putnam | Family Medicine | 2123 Auburn Ave. Tch Family Medicine, Suite 235, Cincinnati, OH 45219 | 2016-04-08 |
| 1033598016 | Amy Seese | Family Medicine | 2751 O'varsity Way 3rd Floor Room 335, Cincinnati, OH 45221-0001 | 2015-05-25 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45238 |
Please comment or provide details below to improve the information on STAWA RAJAB BLANCO.
| 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.