DR. ANTOINETTE LEE LAVALLEY (NPI# 1235118480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235118480 |
| Entity Type | Individual |
| Full Name | DR. ANTOINETTE LEE LAVALLEY |
| Credential | MD |
| Practice Address |
2658 W. Laskey Road 2nd Floor Toledo OH 43613-3288 |
| Mailing Address |
3455 Mill Run Drive Suite 450 Hilliard OH 43026-9083 |
| Practice Telephone | 4194738105 |
| Practice Fax Number | 4192542121 |
| Mailing Telephone | 6147712222 |
| Mailing Fax Number | 6147712221 |
| Enumeration Date | 2006-01-15 |
| Last Update Date | 2010-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
35052406 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 711108 | 05 | |
| OH | 0711108 | 05 | |
| OH | LICENSE NUMBER | 35052406 | 01 |
| Street Address |
2658 W. LASKEY ROAD 2ND FLOOR |
| City | TOLEDO |
| State | OH |
| Zip Code | 43613-3288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083791107 | Donald L Cox | Radiology | 2658 W. Laskey Road, 2nd Floor, Toledo, OH 43613-3288 | 2006-11-01 |
| 1851476147 | Rubina Hassan Shah | Radiology | 2658 W. Laskey Road, 2nd Floor, Toledo, OH 43613-3288 | 2006-10-26 |
| 1811087844 | Tarek Shaaban Moustafa | Radiology | 2658 W. Laskey Road, 2nd Floor, Toledo, OH 43613-3288 | 2006-10-13 |
| 1386684652 | Bruce R. Siders | Radiology | 2658 W. Laskey Road, 2nd Floor, Toledo, OH 43613-3288 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799537 | Christine Bulach Fleischman | Peer Specialist | 1701 West Sylvania Avenue, Toledo, OH 43613 | 2020-08-06 |
| 1891310488 | Tammy Lynn Wintersmith | Counselor | 1701 Sylvania Ave, Toledo, OH 43613 | 2020-06-10 |
| 1275167645 | Patrick Alan Grilliot | Counselor | 1701 W Sylvania Ave, Toledo, OH 43613 | 2020-02-25 |
| 1386152742 | Virgena Rose Nagel | Home Health | 4326 Garden Park, Toledo, OH 43613 | 2018-01-18 |
| 1184140550 | Horizon Science Academy Toledo | Local Education Agency (LEA) | 2600 W Sylvania Ave, Suite #: 109, Toledo, OH 43613 | 2017-08-17 |
| 1356861611 | Sherese R Bonaparte | Home Health Aide | 1928 Barrows St, Toledo, OH 43613 | 2017-06-27 |
| 1962953075 | Maureen Montes | Registered Nurse | Washington Jr High School, 5700 Whitmer Dr., Toledo, OH 43613 | 2016-10-24 |
| 1427504638 | From Us To You Home Health Care Agency LLC | Home Health | 4401 Douglas Rd., Toledo, OH 43613 | 2016-08-28 |
| 1730582487 | Shamyre Lynn Garner | Social Worker | 1776 Tremainsville Road, Toledo, OH 43613 | 2014-10-08 |
| 1356788939 | John M Netwon | Home Health Aide | 4905 Roywood, Toledo, OH 43613 | 2013-05-23 |
| Find all providers in zip 43613 | ||||
| Taxonomy Code | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396378261 | University of Toledo Physicians LLC | Radiology | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2020-02-19 |
| 1831212307 | William Thomas Godfrey | Radiology | 2213 Cherry St, Attn: Radiology Department, Toledo, OH 43608-2603 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609404896 | Yunus Emre Senturk | Radiology | 3031 Eden Ave Apt No301, Cincinnati, OH 45219-2334 | 2020-04-01 |
| 1588981518 | Anshu Shukla | Radiology | 5400 Kennedy Ave Ste 1, Cincinnati, OH 45213-2668 | 2010-04-30 |
| 1558504555 | Sarah Coryea Stock | Radiology | 9500 Euclid Avenue L-10, Cleveland, OH 44195 | 2009-04-07 |
| 1497886147 | Virginia Campbell Poirier | Radiology | 295 Bonnie Ln, Aurora, OH 44202-8028 | 2007-03-07 |
| 1891775268 | Firas Al-ali | Radiology | 1 Akron General Ave Ste 1510, Akron, OH 44307-2432 | 2006-01-20 |
| 1801883913 | Lakshmi Kode Sammarco | Radiology | 4795 Drake Rd, Cincinnati, OH 45243-4119 | 2005-10-04 |
| 1629078720 | Gregory S Meyers | Radiology | 407 Main St, Suite 1, Belpre, OH 45714-1615 | 2005-07-29 |
| 1366928616 | David Ting-chang Wang | Radiology | 234 Goodman St, Cincinnati, OH 45219 | 2018-07-18 |
| 1194159095 | Abdelkader Mahammedi | Radiology | 234 Goodman St, Cincinnati, OH 45219 | 2013-08-27 |
| 1215378872 | Ryan Nichols | Radiology | 1805 27th St, Portsmouth, OH 45662-2640 | 2013-07-11 |
| 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.