DR. JEFF MARINKO-SHRIVERS


Address: 7852 Holderman St, Lewis Center, OH 43035-6004
Phone: 6143062716

DR. JEFF MARINKO-SHRIVERS (NPI# 1316166499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316166499
Entity Type Individual
Full Name DR. JEFF MARINKO-SHRIVERS
Credential PH.D.
Practice Address 7852 Holderman St
Lewis Center
OH 43035-6004
Practice Telephone 6143062716
Practice Fax Number 7405480702
Mailing Telephone 6143062716
Mailing Fax Number 7405480702
Enumeration Date 2007-04-25
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
X 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
5341 OH Behavioral Health & Social Service Providers

Office Location

Street Address 7852 HOLDERMAN ST
City LEWIS CENTER
State OH
Zip Code 43035-6004

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356949358 Lester Chinjelu Zitto Homemaker 910 Apt C Polaris Grand Drive, Lewis Center, OH 43035 2020-10-12
1053959072 Fixari Dental of Lewis Center LLC Dentist 8300 Orange Centre Dr, Lewis Center, OH 43035 2019-12-20
1932752037 Dianna Lynn Hartley Registered Nurse 630 East River Road, Elyria, OH 43035 2019-07-18
1972164713 Cardinal Delaware, Inc. Skilled Nursing Facility 6975 Graphics Way, Lewis Center, OH 43035 2019-06-24
1770142168 Huong V. Trinh, Dds, LLC Dentist 599 Carle Ave, Lewis Center, OH 43035 2019-06-10
1245691476 Isatou Aisha Saidy Registered Nurse 8014 Strawberry Hill Rd, Lewis Center, OH 43035 2016-03-16
1467875864 Karen Leigh Richeson Physical Therapist 814 Lewis Center Rd, Lewis Center, OH 43035 2014-01-22
1750609970 Roopan Elizabeth Farris Internal Medicine 6515 Pullman Drive, Lewis Center, OH 43035 2010-05-12
1164655429 Pagie Kondoh Yokie Registered Nurse 812 Mystic Pointe Drive, Lewis Center, OH 43035 2009-09-02
1215193644 Amanda Rose Daugherty Nurse Practitioner 6417 Columbus Pike, Lewis Center, OH 43035 2008-08-05
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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Competitor

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City LEWIS CENTER
Zip Code 43035

Improve Information

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Dataset Information

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.

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