GERIATRIC PRACTICE LLC (NPI# 1376842815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376842815 |
| Entity Type | Organization |
| Organization Name | GERIATRIC PRACTICE LLC |
| Practice Address |
839 Cherry St Blanchester OH 45107-1315 |
| Mailing Address |
9986 Bolingbroke Dr Cincinnati OH 45241-3677 |
| Practice Telephone | 5134328735 |
| Mailing Telephone | 5134328735 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |
| Authorized Official Name | DR. RAVINDER S MANN (OWNER) |
| Authorized Official Telephone | 5134328735 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
35D68907 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
839 CHERRY ST |
| City | BLANCHESTER |
| State | OH |
| Zip Code | 45107-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568533016 | Blanchester Care, LLC | Skilled Nursing Facility | 839 Cherry St, Blanchester, OH 45107-1315 | 2006-11-13 |
| 1992032148 | The Laurels of Blanchester, LLC | Skilled Nursing Facility | 839 Cherry St, Blanchester, OH 45107 | 2009-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528394756 | Joann Louise Gregory | Licensed Practical Nurse | 6241 Marathon-edenton Rd, Blanchester, OH 45107 | 2009-10-22 |
| 1285870881 | Jennifer Leigh Miller | Contractor | 661 West Main Street, Blanchester, OH 45107 | 2009-01-02 |
| 1982739439 | Lori L Metzger | Physical Therapist | Continental Manor, 820 E Center Street, Blanchester, OH 45107 | 2007-02-23 |
| 1821187808 | Joseph Gordon Gundler | Dentist | 615 West Main Street, Blanchester, OH 45107 | 2006-10-11 |
| 1366688962 | Tamara Gail Serey | Contractor | 661 West Main Street, Blanchester, OH 45107 | 2009-01-02 |
| 1275779878 | Tera Jean Martin | Contractor | 661 West Main Street, Blanchester, OH 45107 | 2009-01-02 |
| 1598842320 | Jody Gundler Dds Inc | Dentist | 615 West Main Street, Blanchester, OH 45107 | 2006-11-01 |
| 1477923811 | Keystone Autism and Behavior Interventions LLC | Behavioral Analyst | 125 Watkins Rd, Blanchester, OH 45107-1056 | 2015-09-28 |
| 1871025817 | Sheryl Parson | Home Health Aide | 212 N Supinger Ave, Blanchester, OH 45107-1070 | 2017-03-29 |
| 1174556310 | Blanchester Community Service | Ambulance | 108 W Center St, Blanchester, OH 45107-1106 | 2006-07-09 |
| Find all providers in zip 45107 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245614858 | Nh Zinaida Lebedeva Md LLC | Psychiatry & Neurology | 8020 Birchwood Dr, Chesterland, OH 44026-3056 | 2015-07-13 |
| 1700134095 | Sri Rayani LLC | Psychiatry & Neurology | 462 Pineview Dr, Gallipolis, OH 45631-9038 | 2012-08-17 |
| 1962565408 | James Shackson Md | Psychiatry & Neurology | 9525 Kenwood Rd, Suite 16-382, Cincinnati, OH 45242-6176 | 2006-12-18 |
| 1053411447 | Nathaniel Travis Marvel, Jr. | Psychiatry & Neurology | 143 Lakeview Ct., Loveland, OH 45140 | 2006-09-25 |
| 1841201068 | Lois Sue Freedman | Psychiatry & Neurology | 10701 East Boulevard, Louis Stokes Cleveland Vamc, Cleveland, OH 44106 | 2006-08-11 |
| 1215963087 | Robert Taylor Segraves | Psychiatry & Neurology | 23230 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5446 | 2006-06-24 |
| 1306820493 | Marguerite Maryanna Katchen | Psychiatry & Neurology | 4903 Vine St, Cincinnati, OH 45217-1252 | 2005-12-01 |
| 1598763856 | Babu V Gupta | Psychiatry & Neurology | 3260 Westbourne Dr, Cincinnati, OH 45248-5107 | 2005-07-11 |
| 1558908400 | Lydia Lee Potoma | Psychiatry & Neurology | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2019-12-10 |
| 1316582778 | Geropsych Psychiatry, Ltd | Psychiatry & Neurology | 151 Orchardview Rd Ste 2b, Seven Hills, OH 44131-5836 | 2019-11-08 |
| Find all providers with the same taxonomy | ||||
| City | BLANCHESTER |
| Zip Code | 45107 |
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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.