STEPHANIE A JAGODZINSKI (NPI# 1144639550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144639550 |
| Entity Type | Individual |
| Full Name | STEPHANIE A JAGODZINSKI |
| Credential | CNP |
| Practice Address |
3430 Secor Rd Ste 425 Toledo OH 43606-1547 |
| Mailing Address |
1 Seagate Ste 800 Toledo OH 43604-1558 |
| Practice Telephone | 5675850225 |
| Practice Fax Number | 4192143564 |
| Mailing Telephone | 5675850225 |
| Mailing Fax Number | 4192143564 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2019-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | COA 16018-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0113079 | 05 | |
| OH | MEDICARE PIN | H406060 | 01 |
| OH | MEDICARE PIN-CENTRAL | H406062 | 01 |
| Street Address |
3430 SECOR RD STE 425 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871071183 | Sarah Elizabeth Stamm | Registered Nurse | 3430 Secor Rd Ste 425, Toledo, OH 43606-1547 | 2018-07-30 |
| 1396273405 | Promedica Central Physicians, LLC | Clinic/Center | 3430 Secor Rd Ste 425, Toledo, OH 43606-1547 | 2017-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
| 1801351689 | Dalila Saleh | Nurse Practitioner | 2778 Sweetbriar Ct, Toledo, OH 43615-1867 | 2019-02-05 |
| 1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
| 1528410032 | Sarah Behnfeldt | Nurse Practitioner | 3355 Glendale Ave., 3rd Floor, Toledo, OH 43614 | 2016-07-08 |
| 1730436395 | Regina Marie Woodson | Nurse Practitioner | 4441 Dunloe Ct, Toledo, OH 43615-6032 | 2012-08-13 |
| 1407133697 | Jessica R Grove | Nurse Practitioner | 1913 Belvoir Dr, Toledo, OH 43613-2801 | 2011-11-16 |
| 1427335447 | Sara C Webb | Nurse Practitioner | 615 Division St, Toledo, OH 43604 | 2011-11-04 |
| 1215188990 | Rachel Karchner | Nurse Practitioner | 2109 Hughes Dr Ste 760, Toledo, OH 43606-5111 | 2008-10-01 |
| 1881861052 | Hcr Manor Care Medical Services of Florida LLC | Nurse Practitioner | 333 N Summit St Fl 7, Toledo, OH 43604-1531 | 2008-05-15 |
| 1780729137 | Diego Felipe Perez | Nurse Practitioner | University of Toledo Medical Center, 3000 Arlington, Toledo, OH 43614 | 2007-02-21 |
| Find all providers in TOLEDO | ||||
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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.