DR. JENNIFER K. FALLON-DELUCIA (NPI# 1356677603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356677603 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER K. FALLON-DELUCIA |
| Credential | M.D. |
| Practice Address |
28555 Starbright Blvd Ste B Perrysburg OH 43551-5662 |
| Practice Telephone | 4199313030 |
| Practice Fax Number | 4199313046 |
| Mailing Telephone | 4199313089 |
| Mailing Fax Number | 4199313048 |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2013-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35070621 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0086604 | 05 |
| Street Address |
28555 STARBRIGHT BLVD STE B |
| City | PERRYSBURG |
| State | OH |
| Zip Code | 43551-5662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316588544 | Justin Brian Jacobs | Physician Assistant | 28555 Starbright Blvd Ste B, Perrysburg, OH 43551-5662 | 2019-09-29 |
| 1962873331 | Julie Gilson | Physician Assistant | 28555 Starbright Blvd Ste B, Perrysburg, OH 43551-5662 | 2015-10-12 |
| 1245632272 | Jessica St. John | Nurse Practitioner | 28555 Starbright Blvd Ste B, Perrysburg, OH 43551-5662 | 2014-09-22 |
| 1700285053 | Todd George Bierley | Nurse Practitioner | 28555 Starbright Blvd Ste B, Perrysburg, OH 43551-5662 | 2014-08-21 |
| 1942541172 | Northwest Ohio Primary Care Physicians Inc | Non-Pharmacy Dispensing Site | 28555 Starbright Blvd Ste B, Perrysburg, OH 43551-5662 | 2013-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067744 | Jacob Burmeister | Psychologist | 1070 Commerce, Building 2, Suite 301, Perrysburg, OH 43551 | 2020-09-13 |
| 1487136727 | Urgent Care Travel, Inc | Clinic/Center | 26415 Warns Road, Lake Township, OH 43551 | 2018-09-04 |
| 1770060527 | Marissa Lynn Dukes | Nurse Practitioner | 3120 Chappel Dr, Perrysburg, OH 43551 | 2018-07-24 |
| 1063999373 | Misty Mary Anne Sheeks-mejri | Registered Nurse | 181 Birchdale Rd, Perrysburg, OH 43551 | 2018-07-20 |
| 1710406160 | Daniel Saffo | Dentist | 27072c Carronade Dr, Perrysburg, OH 43551 | 2017-09-18 |
| 1053835389 | Derrick J Erman | Pharmacist | 10255 Desmond Place, Perrysburg, OH 43551 | 2017-07-28 |
| 1205357167 | Angela Elaine Howard | Counselor | 800 Commerce Dr., Perrysburg, OH 43551 | 2017-06-30 |
| 1306376140 | Hannah Sue Neumeyer | Counselor | 1070 Commerce Drive, Building One, Suite 101, Perrysburg, OH 43551 | 2017-06-14 |
| 1790132199 | Justin Allen Cole | Emergency Medicine | 10421 Scarlet Oak Dr, Perrysburg, OH 43551 | 2016-05-16 |
| 1750742953 | Amy Lynn Graham | Nurse Practitioner | 27386 Corrondale Dr, Perrysburg, OH 43551 | 2016-03-15 |
| Find all providers in zip 43551 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427320043 | James R. Hennessy, M.d. | Pediatrics | 28442 E. River Road, Suite 203, Perrysburg, OH 43551 | 2012-01-27 |
| 1114149283 | Rabia Akbar | Pediatrics | 1103 Village Square Dr Ste 202, Perrysburg, OH 43551 | 2007-05-02 |
| 1780686675 | Beverly Scholler | Pediatrics | 25950 Dixie Hwy Ste 400, Perrysburg, OH 43551-2983 | 2005-08-11 |
| 1497759310 | Colleen J Olson | Pediatrics | 1601 Brigham Dr Ste 200, Perrysburg, OH 43551-7117 | 2005-06-09 |
| 1720623630 | Hannah Henry | Pediatrics | 25950 Dixie Hwy Ste 400, Perrysburg, OH 43551-2983 | 2019-11-14 |
| 1437313244 | Jacob N Maciejewski | Pediatrics | 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114 | 2008-07-11 |
| 1053455170 | Promedica Central Physicians, LLC | Pediatrics | 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114 | 2007-02-20 |
| 1336176882 | Vidya K Ramanathan | Pediatrics | 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114 | 2006-06-27 |
| 1992797864 | Carmen Weeber-morse | Pediatrics | 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114 | 2005-08-17 |
| 1609868710 | Tracy A Karolyi | Pediatrics | 1601 Brigham Dr, Suite 200, Perrysburg, OH 43551-7114 | 2005-08-16 |
| Find all providers in PERRYSBURG | ||||
| City | PERRYSBURG |
| Zip Code | 43551 |
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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.