RUDOLPH PEKAROVIC III (NPI# 1356993935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356993935 |
| Entity Type | Individual |
| Full Name | RUDOLPH PEKAROVIC III |
| Practice Address |
55 W Waterloo Rd Akron OH 44319-1116 |
| Mailing Address |
4250 Hoffman Norton Rd West Farmington OH 44491-9749 |
| Practice Telephone | 3307247715 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APRN.CNP.024888 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 W WATERLOO RD |
| City | AKRON |
| State | OH |
| Zip Code | 44319-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285218 | Jeanette Porubovich-mizenko | Internal Medicine | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2005-12-09 |
| 1861001331 | Edra Collette Williams | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2020-07-30 |
| 1093292047 | Holly Elizabeth Henry-nuss | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2018-07-23 |
| 1952897241 | Melissa Ann Rock | Pharmacist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2018-07-10 |
| 1649624990 | Erica Lucia Keller | Optometrist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2016-04-22 |
| 1619302114 | Christopher A Waite | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2013-09-04 |
| 1104109826 | Zachary Winkhart | Physical Therapist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2011-09-20 |
| 1639492234 | Frances Irene Snell | Nurse Practitioner | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2010-03-10 |
| 1528297041 | Mathew Clay Moughiman | Physical Therapist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2009-07-06 |
| 1568619039 | Melissa Gayle Callahan | Registered Nurse | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051250 | Charles M Gray | Non-emergency Medical Transport (VAN) | 5863 Renninger Road, New Franklin, OH 44319 | 2020-10-22 |
| 1386267383 | Melany Leek | Dentist | 2383 S Main Street, Akron, OH 44319 | 2020-05-26 |
| 1326544115 | Alpha Dental Akron - Ming Yu Dds LLC | Dentist | 3235 Manchester Rd Ste 2, Akron, OH 44319 | 2018-04-02 |
| 1972031565 | Laura Knight | Optometrist | 2694 S Main St, Akron, OH 44319 | 2017-05-26 |
| 1073937066 | Charles Curtis | Licensed Practical Nurse | 530 W Turkey Elementary School, New Fraklin, OH 44319 | 2014-02-11 |
| 1215200217 | Margaret Jane D'amico | Occupational Therapy Assistant | 607 Jarvis Road, Akron, OH 44319 | 2012-02-22 |
| 1376846360 | Britny Miller | Home Health Aide | 3790 Powell Ave, Akron, OH 44319 | 2010-12-13 |
| 1346552429 | Carina Ford | Occupational Therapist | 670 Jaris Road, Akron, OH 44319 | 2010-07-06 |
| 1831348713 | David Bruce Imbeau | Dentist | 3235 Manchester Rd. Suite #2, Akron, OH 44319 | 2008-09-16 |
| 1528216652 | Rem Ohio, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3070 Littledale Road, Akron, OH 44319 | 2008-09-03 |
| Find all providers in zip 44319 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710528948 | Tenelle Clark | Nurse Practitioner | 3269 Grey Village Dr, Akron, OH 44319-2570 | 2019-09-29 |
| 1912319070 | April Davis | Nurse Practitioner | 1073 Orlando Ave, Akron, OH 44320-2746 | 2014-05-23 |
| 1023127040 | Melissa Kay Zupancic | Nurse Practitioner | 864 Knightsbridge Dr, Akron, OH 44313 | 2006-08-30 |
| 1679180111 | Danielle Davis | Nurse Practitioner | 150 Cross St, Akron, OH 44311-1026 | 2020-09-29 |
| 1548872039 | Brooke N Phillips | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-18 |
| 1487265005 | Olecia Anna Szedny-goodrich | Nurse Practitioner | 4125 Medina Rd, Akron, OH 44333-2483 | 2020-08-17 |
| 1225512213 | Sharon Goldan | Nurse Practitioner | 1 Akron General Ave, Akron, OH 44307-2432 | 2018-09-17 |
| 1205319357 | Amelia Baffa | Nurse Practitioner | 340 S Broadway St, Akron, OH 44308-1529 | 2018-09-13 |
| 1679086227 | Lynnette Enterline | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2017-11-06 |
| 1396255865 | Tonya M Gessler | Nurse Practitioner | 340 S Broadway St, Akron, OH 44308-1529 | 2017-10-10 |
| Find all providers in AKRON | ||||
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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.