ADMIRAL MEDICAL MANAGEMENT GROUP LLC (NPI# 1407357742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407357742 |
| Entity Type | Organization |
| Organization Name | ADMIRAL MEDICAL MANAGEMENT GROUP LLC |
| Practice Address |
3356 Greens Pointe Dr Twinsburg OH 44087-4911 |
| Practice Telephone | 4408151781 |
| Mailing Telephone | 4408151781 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |
| Authorized Official Name | KETURA JACKSON (APRN CNP) |
| Authorized Official Telephone | 2168557775 |
| Authorized Official Credential | APRN CNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WA2000X |
Registered Nurse Specialization: Administrator |
366986 | OH | Nursing Service Providers |
| N | 261Q00000X | Clinic/Center | OH | Ambulatory Health Care Facilities | |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
OH | Ambulatory Health Care Facilities | |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
OH | Ambulatory Health Care Facilities |
| Street Address |
3356 GREENS POINTE DR |
| City | TWINSBURG |
| State | OH |
| Zip Code | 44087-4911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396215976 | Twinsburg Healthcare Center LLC | Skilled Nursing Facility | 9928 Vail Dr., Twinsburg, OH 44087 | 2018-11-27 |
| 1073042339 | Healing Starts At Home-care LLC | Home Health | 9345 Ravenna Road, Suite B, Twinsburg, OH 44087 | 2017-06-08 |
| 1750833380 | Sandra Renaud | Licensed Practical Nurse | 10486 North Pond Lane, Twinsburg, OH 44087 | 2016-10-31 |
| 1538612791 | Christopher Flessner | Psychologist | 2132 Case Parkway North Units A, B & C, Twinsburg, OH 44087 | 2016-07-25 |
| 1942677190 | Susan Bard | Physical Therapist | 10405 Springwood Circle, Twinsburg, OH 44087 | 2015-08-24 |
| 1790176477 | Elizabeth Meathe Mchugh | Counselor | 9810 Ravenna Road, Second Floor Room #1, Twinsburg, OH 44087 | 2015-02-17 |
| 1942698089 | Holly Kitzmiller | Physical Therapist | 8972 Darrow Rd., Suite 201, Twinsburg, OH 44087 | 2014-12-23 |
| 1316362460 | Victoria E Riola | Social Worker | 9810 Ravenna Rd Ste 1, Twinsburg, OH 44087 | 2014-02-26 |
| 1245667476 | Keante Shree White | Licensed Practical Nurse | 2203 Pebble Creek Dr., 204i, Twinsburg, OH 44087 | 2013-10-02 |
| 1659705804 | Lauren O'hara | Psychologist | 2132 Case Parkway North, Kidslink, Hudson, OH 44087 | 2013-08-23 |
| Find all providers in zip 44087 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.