JUSTIN DAVID WILDEMANN (NPI# 1235636879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235636879 |
| Entity Type | Individual |
| Full Name | JUSTIN DAVID WILDEMANN |
| Practice Address |
214 W Bowery St Akron OH 44308-1046 |
| Mailing Address |
1841 N Star Rd Columbus OH 43212-1506 |
| Practice Telephone | 3305431000 |
| Mailing Telephone | 8566307249 |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 57.246367 | OH | Student, Health Care |
| Street Address |
214 W BOWERY ST |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1669089199 | Lauren Renee Gardner | Registered Nurse | 214 W Bowery St, Akron, OH 44308-1046 | 2020-09-29 |
| 1194354837 | Ealla Atari | Student in an Organized Health Care Education/Training Program | 214 W Bowery St, Akron, OH 44308-1046 | 2020-04-04 |
| 1790314854 | Serena Dimattia | Student in an Organized Health Care Education/Training Program | 214 W Bowery St, Akron, OH 44308-1046 | 2020-04-02 |
| 1568090777 | Erin Marie Gaston | Nurse Practitioner | 214 W Bowery St, Akron, OH 44308-1046 | 2020-04-01 |
| 1942838271 | Maggie M Dade | Student in an Organized Health Care Education/Training Program | 214 W Bowery St, Akron, OH 44308-1046 | 2020-03-31 |
| 1639706864 | Marshall Leland | Student in an Organized Health Care Education/Training Program | 214 W Bowery St, Akron, OH 44308-1046 | 2020-03-26 |
| 1376170092 | Joshua R Coleman | Student in an Organized Health Care Education/Training Program | 214 W Bowery St, Akron, OH 44308-1046 | 2020-03-24 |
| 1437794815 | Lauren Meeks | Registered Nurse | 214 W Bowery St, Akron, OH 44308-1046 | 2019-11-09 |
| 1609422856 | Chelsey Smeiles | Nurse Practitioner | 214 W Bowery St, Akron, OH 44308-1046 | 2019-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
| 1275755787 | Elizabeth J. Kendrick | Clinical Nurse Specialist | 1 Perkins Square, Akron, OH 44308 | 2007-05-03 |
| Find all providers in zip 44308 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164051413 | Logen Breehl | Student in an Organized Health Care Education/Training Program | Akron Children's Hospital 214 W Bowery St, Akron, OH 44308-1046 | 2020-04-07 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1215566716 | Kylan Robert Hill | Student in an Organized Health Care Education/Training Program | 525 E. Market St., Med II, Department of Obstetrics & Gynecology, Akron, OH 44309 | 2020-04-06 |
| 1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
| 1174151468 | Kailey Ann Remien | Student in an Organized Health Care Education/Training Program | 156 W Exchange St, Akron, OH 44302 | 2020-03-31 |
| 1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
| 1174151831 | Evan Hodel | Student in an Organized Health Care Education/Training Program | 325 E Market St, Akron, OH 44304-1340 | 2020-03-30 |
| 1326676347 | Zeba Khalid | Student in an Organized Health Care Education/Training Program | 525 E Market St Ste 3a, Akron, OH 44304-1619 | 2020-03-27 |
| Find all providers in AKRON | ||||
Please comment or provide details below to improve the information on JUSTIN DAVID WILDEMANN.
| 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.