MARY SHENOUDA (NPI# 1104801976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104801976 |
| Entity Type | Individual |
| Full Name | MARY SHENOUDA |
| Credential | M.D. |
| Practice Address |
1252 Ralston Ave Ste 400 Defiance OH 43512-1480 |
| Mailing Address |
2300 Baton Rouge Lima OH 45805-1130 |
| Practice Telephone | 4197826588 |
| Practice Fax Number | 4197843622 |
| Mailing Telephone | 4199913937 |
| Mailing Fax Number | 4199913939 |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2020-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 88852 | OH | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 01060074A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2713460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316496946 | Mary Shenouda | Occupational Therapist | 43707 Hayes Rd, Sterling Heights, MI 48313-2271 | 2016-09-23 |
| 1518337468 | Mary Shenouda | Dentist | 2875 Troy Center Dr, Apt # 2023, Troy, MI 48084-4718 | 2015-10-05 |
| Street Address |
1252 RALSTON AVE STE 400 |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-1480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386601193 | Eye Surgeon Associates, Inc. | Ophthalmology | 1490 Pinehurst Dr, Defiance, OH 43512-8670 | 2006-04-26 |
| 1548598642 | Stephen Michael Mcconnell | Ophthalmology | 1400 E 2nd St, Defiance, OH 43512-2440 | 2009-12-01 |
| 1831221225 | Vision Associates Inc | Ophthalmology | 1490 Pinehurst Dr, Defiance, OH 43512-8670 | 2007-03-12 |
| 1538126123 | Philip H. O'donnell | Ophthalmology | 1490 Pinehurst Dr, Defiance, OH 43512-8670 | 2006-04-27 |
| 1033191911 | John J. Racciato | Ophthalmology | 1400 E 2nd St, Defiance, OH 43512-2440 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142182 | Tri-state Centers for Sight Inc | Ophthalmology | 8270 Pine Rd, Cincinnati, OH 45236-1900 | 2020-10-22 |
| 1952913311 | Dayton Glaucoma and Cataract Consultants Inc | Ophthalmology | 1222 S Patterson Blvd Ste 300, Dayton, OH 45402-2643 | 2020-08-18 |
| 1497365449 | Victor M Bello Md, LLC | Ophthalmology | 3169 Park East Drive, Suite 306, Parkway Medical Building South, Beachwood, OH 44122-4132 | 2020-08-05 |
| 1922660620 | The Cincinnati Eye Institute Foundation | Ophthalmology | 1574 Claretta Dr, Cincinnati, OH 45231-5405 | 2019-07-02 |
| 1154834562 | Fountain Anti-aging | Ophthalmology | 892 Beach Rd, Lakewood, OH 44107-1018 | 2017-11-07 |
| 1063865863 | Claudine Bellerive | Ophthalmology | Cole Eye Institute 9500 Euclid Avenue I 13, Cleveland, OH 44195-0001 | 2016-07-15 |
| 1396193009 | Arif Omar Khan | Ophthalmology | Ophthalmology Cole Eye Institute I30, 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-06-03 |
| 1053768374 | Kevin Halenda | Ophthalmology | Cleveland Clinic Cole Eye Institute 9500 Euclid Ave I30, Cleveland, OH 44195-2536 | 2016-05-17 |
| 1316301765 | Joseph Ling | Ophthalmology | 7001 S Edgerton Rd Ste B, Brecksville, OH 44141-4206 | 2016-04-12 |
| 1568825222 | Matthew Phillip Nicholas | Ophthalmology | 9500 Euclid Ave # I30, Cleveland, OH 44195-4201 | 2016-03-31 |
| 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.