DR. JONATHAN PHAN (NPI# 1316490956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316490956 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN PHAN |
| Credential | D.M.D. |
| Practice Address |
2351 E 22nd St St. Vincent Charity Medical Center Cleveland OH 44115-3111 |
| Practice Telephone | 2168616200 |
| Practice Fax Number | 2163637490 |
| Mailing Telephone | 2168616200 |
| Mailing Fax Number | 2163637490 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 30-24859 | OH | Dental Providers |
| Street Address |
2351 E 22ND ST ST. VINCENT CHARITY MEDICAL CENTER |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051661 | Cynthia L Brown | Internal Medicine | 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 | 2005-08-24 |
| 1679186894 | Francisco J Somoza-cano | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-27 |
| 1992317879 | Patil Sarkis Balozian | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-20 |
| 1205448800 | Faris Hammad | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-17 |
| 1043820525 | Mohamad H E Alsaed | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-09 |
| 1245849892 | Mohammad Haidous | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-29 |
| 1982212593 | David Perse Md, LLC | Surgery | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
| 1659989275 | Jeremy Perse, Dpm, LLC | Podiatrist | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
| 1356969281 | Krista Michelle Wong | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-07 |
| 1538785233 | Sanjul Prakash Patel | Student in an Organized Health Care Education/Training Program | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770119539 | Cleveland Sleep Treatment LLC | Dentist | 3736 Rocky River Dr, Cleveland, OH 44111-4050 | 2020-03-12 |
| 1982255345 | Rest Assured LLC | Dentist | 4245 N Ocoee St Suite 4, Cleveland, TN 37312-4999 | 2019-09-26 |
| 1215422001 | Julia Shneyderman | Dentist | 11202 Shaker Blvd Ste 136, Cleveland, OH 44104 | 2018-06-25 |
| 1386164655 | Elisabeth Anna Banasik | Dentist | Case Western Reserve School of Dental Medicine, 2124 Cornell Road, Cleveland, OH 44106 | 2017-06-27 |
| 1467999102 | William Smith | Dentist | 9601 Chester Ave # 239j, Cleveland, OH 44106 | 2017-01-19 |
| 1407235872 | Dr. Yazan Haddadeen & Partners LLC | Dentist | 2906 Euclid Ave, Cleveland, OH 44115-2416 | 2015-05-19 |
| 1629489208 | Lutfi Nassar | Dentist | 5716 Broadway Ave., Cleveland, OH 44127 | 2014-05-16 |
| 1457799256 | Anne M. Clemons | Dentist | 9500 Euclid Ave # A-71, Cleveland, OH 44195-0001 | 2013-06-13 |
| 1285071829 | N. Stephen Wilson, D.d.s. | Dentist | 4635 Richmond Rd Ste 100, Cleveland, OH 44128-5938 | 2013-05-22 |
| 1194086645 | Zamira Jani | Dentist | 3084 W 25th St, Cleveland, OH 44113-5306 | 2012-05-31 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on DR. JONATHAN PHAN.
| 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.