DR. SUNITA A MATHEW (NPI# 1265607444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265607444 |
| Entity Type | Individual |
| Full Name | DR. SUNITA A MATHEW |
| Credential | D.O. |
| Practice Address |
6140 S Broadway Lorain OH 44053-3821 |
| Practice Telephone | 4402337232 |
| Practice Fax Number | 4402339070 |
| Mailing Telephone | 4402337232 |
| Mailing Fax Number | 4402339070 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2019-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
34009976 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0078688 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992943732 | Sunita A. Mathew | Dentist | 2001 Marcus Ave Ste S60, New Hyde Park, NY 11042-1040 | 2009-02-02 |
| 1083943419 | Sunita Mathew | Specialist | 1056 5th Ave, Ny, NY 10028-0031 | 2009-12-14 |
| Street Address |
6140 S BROADWAY |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-3821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751796 | Manuel Enrique Gordillo Sr. | Specialist | 6140 S Broadway, Lorain, OH 44053-3891 | 2005-06-22 |
| 1447858964 | Raymone Letroy Wells Jr. | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-10-16 |
| 1932707734 | Rachel Elizabeth Porrello | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-10-14 |
| 1336756634 | Laura Lynn Weppler | Registered Nurse | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-30 |
| 1902412307 | Janelle Kinney | Social Worker | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-09-21 |
| 1699381004 | Melanie Anne Glavic | Counselor | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-21 |
| 1619583101 | Momoko H Barton | Social Worker | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-20 |
| 1245845551 | Alexis Feronti | Case Manager/Care Coordinator | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-14 |
| 1659986537 | Glen Allan Morse | Licensed Practical Nurse | 6140 S Broadway, Lorain, OH 44053-3821 | 2020-09-09 |
| 1346854569 | Kathryn Ann Carico | Registered Nurse | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366581035 | Achala Patel | Psychiatry & Neurology | 6140 S Broadway, Lorain, OH 44053-3821 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669882890 | Nimisha Paul Thuluvath | Psychiatry & Neurology | 601 S Edwin Moses Blvd, Dayton, OH 45417-3424 | 2014-04-28 |
| 1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
| 1578820452 | Sree Latha Krishna Jadapalle | Psychiatry & Neurology | 11395 Cheyenne Trail, Apt 101, Parma Heights, OH 44130 | 2012-04-18 |
| 1801180401 | Brio Neurobehavioral Consultants | Psychiatry & Neurology | 3567 Reserve Commons Dr, Suite 125, Medina, OH 44256-5323 | 2011-06-01 |
| 1477861862 | Stacy A Solheim | Psychiatry & Neurology | Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433-5529 | 2010-09-20 |
| 1841506763 | Jackosky Health Inc | Psychiatry & Neurology | 30400 Detroit Rd Ste 404, Westlake, OH 44145-1855 | 2010-08-30 |
| 1467768531 | Jillian Alexis Shellabarger | Psychiatry & Neurology | 1522 E Us Highway 36, Urbana, OH 43078-9738 | 2010-08-26 |
| 1538321062 | Deborah Amann | Psychiatry & Neurology | 9403 Kenwood Rd Ste B120, Blue Ash, OH 45242-6884 | 2008-06-26 |
| 1154597839 | Aditi M Sheth | Psychiatry & Neurology | 2720 Sweetwater Dr, Brecksville, OH 44141-4101 | 2008-05-02 |
| 1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
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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.