DOMENICA ZUCCARO (NPI# 1396825899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396825899 |
| Entity Type | Individual |
| Full Name | DOMENICA ZUCCARO |
| Other Name | DOMENICA RANDAU |
| Credential | A.A. |
| Practice Address |
6701 Rockside Rd Suite 200 Independence OH 44131-2358 |
| Practice Telephone | 2166745230 |
| Practice Fax Number | 2166745231 |
| Mailing Telephone | 2166745230 |
| Mailing Fax Number | 2166745231 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | 67.000121 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2696739 | 05 |
| Street Address |
6701 ROCKSIDE RD SUITE 200 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061702 | Eric William Boose | Family Medicine | 6701 Rockside Rd, Ste 260, Independence, OH 44131-2351 | 2005-05-23 |
| 1467990168 | Independence Accident and Injury Center, LLC | Chiropractor | 6701 Rockside Rd, Suite 230, Independence, OH 44131-2358 | 2017-02-02 |
| 1407207673 | Pai Medical Inc | Internal Medicine | 6701 Rockside Rd, #370, Independence, OH 44131-2358 | 2016-06-28 |
| 1710372560 | Brian Myers | Family Medicine | 6701 Rockside Rd, Independence, OH 44131 | 2015-03-30 |
| 1114326097 | Victoria Kucek | Anesthesiologist Assistant | 6701 Rockside Rd, Ste 200, Independence, OH 44131-2358 | 2014-08-18 |
| 1033522115 | Emanuela Pratt | Anesthesiologist Assistant | 6701 Rockside Rd, Suite 200, Independence, OH 44131-2358 | 2014-06-06 |
| 1164798906 | Mark L Allen Md, Inc | Anesthesiology | 6701 Rockside Rd, Suite 200, Independence, OH 44131-2358 | 2012-03-27 |
| 1609164789 | Anthony R Tripi | Anesthesiologist Assistant | 6701 Rockside Rd, Ste 200, Independence, OH 44131-2358 | 2011-07-11 |
| 1184916033 | Outreach Professional Services Inc | Durable Medical Equipment & Medical Supplies | 6701 Rockside Rd, Suite 100, Independence, OH 44131-2358 | 2011-05-11 |
| 1174829378 | Lisa M Schnell | Physician Assistant | 6701 Rockside Rd, Suite 103, Independence, OH 44131-2358 | 2011-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497308944 | Kristen Porvasnik | Anesthesiologist Assistant | 6701 Rockside Rd Ste 200, Independence, OH 44131-2316 | 2019-07-23 |
| 1538682893 | Marcus D Ellis | Anesthesiologist Assistant | 6701 Rockside Rd Ste 200, Independence, OH 44131-2316 | 2017-07-19 |
| 1366965568 | Nicholas Joseph Bryan | Anesthesiologist Assistant | 6701 Rockside Rd Ste 200, Independence, OH 44131-2316 | 2017-07-19 |
| 1114326097 | Victoria Kucek | Anesthesiologist Assistant | 6701 Rockside Rd, Ste 200, Independence, OH 44131-2358 | 2014-08-18 |
| 1033522115 | Emanuela Pratt | Anesthesiologist Assistant | 6701 Rockside Rd, Suite 200, Independence, OH 44131-2358 | 2014-06-06 |
| 1609164789 | Anthony R Tripi | Anesthesiologist Assistant | 6701 Rockside Rd, Ste 200, Independence, OH 44131-2358 | 2011-07-11 |
| 1083840797 | Jaime Marie Cook | Anesthesiologist Assistant | 6701 Rockside Rd Ste 200, Independence, OH 44131-2316 | 2009-06-09 |
| 1508016304 | Joshua Berkowitz | Anesthesiologist Assistant | 6701 Rockside Rd Ste 200, Independence, OH 44131-2316 | 2008-09-29 |
| 1568628808 | Chandra L Wozniak | Anesthesiologist Assistant | 6701 Rockside Rd, Suite 200, Independence, OH 44131-2316 | 2008-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285286526 | Jonathan Richard Haag | Anesthesiologist Assistant | 2550 Metrohealth Dr, Cleveland, OH 44109 | 2019-07-16 |
| 1902347123 | Eric Klinedinst | Anesthesiologist Assistant | 2126 Murray Hill Rd Apt 1, Cleveland, OH 44106-2339 | 2017-03-20 |
| 1568900371 | James George Davis | Anesthesiologist Assistant | 4902 Wellington Ave, Parma, OH 44134-3564 | 2017-02-01 |
| 1104276963 | Nada Tayeh | Anesthesiologist Assistant | 7831 Hickory Hill Ln, Parma, OH 44130-7664 | 2016-06-13 |
| 1821452020 | Tara Hammann | Anesthesiologist Assistant | 7115 Ludlum Rd, Morrow, OH 45152-7517 | 2016-04-13 |
| 1932588399 | Bianca Shah | Anesthesiologist Assistant | 2400 N Star Ln, Avon, OH 44011-2016 | 2015-05-19 |
| 1376949198 | Amanda Price | Anesthesiologist Assistant | 5455 N Marginal Rd, Apt. 412, Cleveland, OH 44114-3937 | 2014-11-05 |
| 1518381250 | Erin Leslie | Anesthesiologist Assistant | 2195 Auburn Avenue, Cincinnati, OH 45219-2906 | 2014-02-18 |
| 1770862500 | Colleen Dwight Traud | Anesthesiologist Assistant | 1730 W. 25th St, Cleveland, OH 44113 | 2011-08-10 |
| 1134440142 | Zachary Nearman | Anesthesiologist Assistant | 32430 Pinebrook Ln, Pepper Pike, OH 44124-5953 | 2010-06-14 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
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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.