LORAIN COUNTY HEALTH & DENTISTRY (NPI# 1083872220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083872220 |
| Entity Type | Organization |
| Organization Name | LORAIN COUNTY HEALTH & DENTISTRY |
| Practice Address |
3745 Grove Ave Lorain OH 44055-2734 |
| Mailing Address |
1205 Broadway Lorain OH 44052-3409 |
| Practice Telephone | 4402401655 |
| Practice Fax Number | 4402451218 |
| Mailing Telephone | 4402401655 |
| Mailing Fax Number | 4402451218 |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2013-06-21 |
| Authorized Official Name | STEPHANIE WIERSMA (PRESIDENT AND CEO) |
| Authorized Official Telephone | 4402331059 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528690351 | Lorain County Health & Dentistry | Clinic/Center | 105 Louden Ct., Elyria, OH 44035-8028 | 2020-02-10 |
| 1538791314 | Lorain County Health & Dentistry | Clinic/Center | 260 S. Main St, Oberlin, OH 44074-1773 | 2020-02-10 |
| 1780216564 | Lorain County Health & Dentistry | Clinic/Center | 412 E. River St., Elyria, OH 44035-5252 | 2020-02-10 |
| 1346872124 | Lorain County Health & Dentistry | Clinic/Center | 1205 Broadway Ave., Lorain, OH 44052-3409 | 2020-02-10 |
| 1245790237 | Lorain County Health & Dentistry | Family Medicine | 6140 S. Broadway Ave., Lorain, OH 44053-3821 | 2019-03-25 |
| 1336697184 | Lorain County Health & Dentistry | Family Medicine | 6150 Square Dr., Lorain, OH 44052-3409 | 2016-09-21 |
| 1023564143 | Lorain County Health & Dentistry | Nurse Practitioner | 6150 Park Square Dr., Lorain, OH 44053-4153 | 2016-08-29 |
| 1528430097 | Lorain County Health & Dentistry | Social Worker | 1205 Broadway Ave, Lorain, OH 44052-3409 | 2015-10-23 |
| 1891030128 | Lorain County Health & Dentistry | Family Medicine | 412 E River St, Elyria, OH 44035-5252 | 2012-11-27 |
| 1841238417 | Lorain County Health & Dentistry | Oral & Maxillofacial Surgery | 1205 Broadway, Lorain, OH 44052-3409 | 2006-06-03 |
| Street Address |
3745 GROVE AVE |
| City | LORAIN |
| State | OH |
| Zip Code | 44055-2734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255625 | Vivian R Suico | Internal Medicine | 3745 Grove Ave, Lorain, OH 44055-2734 | 2005-06-15 |
| 1871999573 | Emily Tseng | Family Medicine | 3745 Grove Ave, Lorain, OH 44055-2734 | 2014-11-07 |
| 1750714390 | Veronica Tarkenton | Nurse Practitioner | 3745 Grove Ave, Lorain, OH 44055-2734 | 2013-08-19 |
| 1225204126 | Lorain County Health & Dentistry | Oral & Maxillofacial Surgery | 3745 Grove Ave, Lorain, OH 44055-2734 | 2008-05-01 |
| 1598930877 | Lorain County Health & Dentistry | Dentist | 3745 Grove Ave, Lorain, OH 44055 | 2008-04-28 |
| 1801928122 | John W Bell II | Specialist | 3745 Grove Ave, Lorain, OH 44055-2734 | 2007-03-12 |
| 1518994789 | Richard M Cole | Family Medicine | 3745 Grove Ave, Lorain, OH 44055-2734 | 2006-06-26 |
| 1225002611 | Jessica R Griggs | Family Medicine | 3745 Grove Ave, Lorain, OH 44055-2734 | 2006-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417585910 | Millennium Medical Group | Home Health | 2420 E 29th St, Lorain, OH 44055 | 2020-03-30 |
| 1871076356 | Elba Padua | Home Health | 1943 E 32nd St, Lorain, OH 44055 | 2018-09-11 |
| 1811475494 | Michael Anthony Spataro | Licensed Practical Nurse | 3226 Oakdale Ave, Lorain, OH 44055 | 2018-08-05 |
| 1942617030 | Ohio Guidestone | Community/Behavioral Health | 2173 North Ridge Road, Suite E, Lorain, OH 44055 | 2014-07-21 |
| 1750648259 | Jamie M Mcghee | Licensed Practical Nurse | 2238 E 34th St, Lorain, OH 44055 | 2012-04-20 |
| 1669771747 | J. Christopher Cuda | Social Worker | 1865 N Ridge Rd E Ste D, Lorain, OH 44055 | 2011-03-15 |
| 1093989477 | Norberto L Juan | Family Medicine | 3745 Grove Ave., Lorain, OH 44055 | 2008-04-16 |
| 1295223907 | Ashley Bowers | Social Worker | 2173 N Ridge Rd E Ste E, Lorain, OH 44055 | 2018-04-27 |
| 1629529367 | Laura Reed | Social Worker | 1882 E 32nd St, Lorain, OH 44055 | 2016-10-18 |
| 1609226067 | Kimberly R H Krzemienieswki | Social Worker | 2173 N Ridge Rd E, Suite E, Lorain, OH 44055 | 2016-06-16 |
| Find all providers in zip 44055 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215194527 | Lorain County Health & Dentistry | Clinic/Center | 1205 Broadway, Lorain, OH 44052-3409 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380725 | Family Health Services of Erie County | Clinic/Center | 209 Lowell St, Castalia, OH 44824-9332 | 2020-09-15 |
| 1124633193 | Community Health Centers of Greater Dayton | Clinic/Center | 3805 Kings Hwy Rm C, Dayton, OH 45406-3577 | 2020-09-15 |
| 1669087649 | Community Health Centers of Greater Dayton | Clinic/Center | 2900 Shiloh Springs Rd, Ste Studio A, Trotwood, OH 45426-2139 | 2020-09-15 |
| 1639783996 | Erie County Office of Auditor | Clinic/Center | 34 Executive Dr Ste A, Norwalk, OH 44857-2490 | 2020-09-03 |
| 1083231872 | Health Partners of Western Ohio | Clinic/Center | 550 S Collett St Ste 1, Lima, OH 45805-3210 | 2020-06-29 |
| 1366068405 | Muskingum Valley Health Centers | Clinic/Center | 225 W Union Ave Ste 100, West Lafayette, OH 43845-1150 | 2020-06-24 |
| 1205452331 | Muskingum Valley Health Centers | Clinic/Center | 58601 Marietta Rd Ste 100, Byesville, OH 43723-9452 | 2020-06-24 |
| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
| 1407480593 | Erie County Office of Auditor | Clinic/Center | 333 Buckeye Blvd Ste B, Port Clinton, OH 43452-2475 | 2020-02-27 |
| 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.