JUSTIN TYME GORANOVICH (NPI# 1285054999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285054999 |
| Entity Type | Individual |
| Full Name | JUSTIN TYME GORANOVICH |
| Credential | M.D. |
| Practice Address |
300 W 10th Ave Columbus OH 43210-1280 |
| Mailing Address |
700 Ackerman Rd Ste 2120 Columbus OH 43202-1559 |
| Practice Telephone | 6142934969 |
| Practice Fax Number | 6142936111 |
| Mailing Telephone | 6142934969 |
| Mailing Fax Number | 6142936111 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35139987 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0415600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3130 Highland Ave, 2nd Floor Hoxworth Building, Cincinnati, OH 452192399 | 5135844061 | 5135843349 |
| University of Colorado Hopsital, 12605 E. 16th Ave., Aurora, CO 80045 | 7208480300 |
| Street Address |
300 W 10TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1280 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982602363 | William Gress Kraybill Jr. | Surgery | 300 W 10th Ave, Columbus, OH 43210-1280 | 2005-07-11 |
| 1932737400 | Antonette L. Hardie | Dietitian, Registered | 300 W 10th Ave, Columbus, OH 43210-1280 | 2020-03-31 |
| 1477194835 | Timothy Brooks Phillips | Clinical Nurse Specialist | 300 W 10th Ave, Columbus, OH 43210-1280 | 2019-10-07 |
| 1518448216 | Zlatina N. Wilburn | Nurse Practitioner | 300 W 10th Ave, Columbus, OH 43210-1280 | 2018-08-22 |
| 1477046449 | Megan Shae Gould | Nurse Practitioner | 300 W 10th Ave, Columbus, OH 43210-1280 | 2018-06-13 |
| 1316430648 | Anne Darci Wolfe | Nurse Practitioner | 300 W 10th Ave, Columbus, OH 43210-1280 | 2018-06-12 |
| 1265959639 | Danielle O'connell | Nurse Practitioner | 300 W 10th Ave, Columbus, OH 43210-1280 | 2017-08-27 |
| 1174043731 | Martha S. Lewis-hanna | Nurse Practitioner | 300 W 10th Ave, Columbus, OH 43210-1280 | 2017-06-26 |
| 1881133486 | Samantha Leigh Clements | Physician Assistant | 300 W 10th Ave, Columbus, OH 43210-1280 | 2017-02-15 |
| 1447796602 | Paul B. Cleland | Physician Assistant | 300 W 10th Ave, Columbus, OH 43210-1280 | 2017-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174059174 | Padet Wattanasarn | Psychiatry & Neurology | 1070 Circle On The Grn, Columbus, OH 43235-1211 | 2017-05-11 |
| 1780946731 | Samantha Jo Lorusso | Psychiatry & Neurology | 543 Taylor Ave Ste 1100, Columbus, OH 43203-1278 | 2012-06-14 |
| 1184930133 | Appaji Rayi | Psychiatry & Neurology | 395 W 12th Ave Fl 7, Columbus, OH 43210 | 2010-08-27 |
| 1760641740 | Aaron Lee Boster | Psychiatry & Neurology | 8000 Ravines Edge Ct Ste 200, Columbus, OH 43235-5422 | 2008-06-05 |
| 1740489566 | Neurological Associates, Inc. | Psychiatry & Neurology | 974 Bethel Rd Ste C, Columbus, OH 43214-2467 | 2007-07-12 |
| 1649488586 | Shuang Chen | Psychiatry & Neurology | 4551 Lanercost Way, Columbus, OH 43220-2916 | 2007-05-21 |
| 1538222609 | George Wesley Paulson | Psychiatry & Neurology | 3957 Lytham Ct, Columbus, OH 43220-4848 | 2006-12-19 |
| 1740355486 | Brien John Smith | Psychiatry & Neurology | 3555 Olentangy River Rd Ste 2002, Columbus, OH 43214 | 2006-11-21 |
| 1144304064 | Maria Kataki | Psychiatry & Neurology | 2050 Kenny Rd Fl 3, Columbus, OH 43221-3502 | 2006-10-25 |
| 1205910502 | Douglas W. Scharre | Psychiatry & Neurology | 2050 Kenny Rd Fl 7, Columbus, OH 43221-3502 | 2006-10-24 |
| Find all providers in COLUMBUS | ||||
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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.