DR. SAMUEL K DZODZOMENYO (NPI# 1407857063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407857063 |
Entity Type | Individual |
Full Name | DR. SAMUEL K DZODZOMENYO |
Credential | MD |
Practice Address |
477 Cooper Rd Ste 480 Westerville OH 43081-8095 |
Mailing Address |
1810 Mackenzie Dr Fl 2 Columbus OH 43220-2967 |
Practice Telephone | 6148237135 |
Practice Fax Number | 6148237137 |
Mailing Telephone | 6142732250 |
Mailing Fax Number | 6142732255 |
Enumeration Date | 2005-08-04 |
Last Update Date | 2018-11-02 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35070439 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 02492740 | 05 | |
KY | 64086143 | 05 |
Street Address |
477 COOPER RD STE 480 |
City | WESTERVILLE |
State | OH |
Zip Code | 43081-8095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861499741 | Mehmet G Basaran | Allergy & Immunology | 477 Cooper Rd Ste 480, Westerville, OH 43081-8095 | 2005-07-07 |
1992202691 | Colleen Wesley | Registered Nurse | 477 Cooper Rd Ste 480, Westerville, OH 43081-8095 | 2018-04-09 |
1427566348 | Jamie Marie Schwepfinger | Audiologist | 477 Cooper Rd Ste 480, Westerville, OH 43081-8095 | 2018-01-12 |
1689938078 | Patrick Leon Bockenstedt | Otolaryngology | 477 Cooper Rd Ste 480, Westerville, OH 43081 | 2012-06-29 |
1689930695 | Megan E. Goebel | Allergy & Immunology | 477 Cooper Rd Ste 480, Westerville, OH 43081-8095 | 2012-04-03 |
1013229814 | Michael Goodman | Allergy & Immunology | 477 Cooper Rd Ste 480, Westerville, OH 43081-8095 | 2010-07-08 |
1770804213 | Kelly Vermeeren | Audiologist | 477 Cooper Rd Ste 480, Westerville, OH 43081-8095 | 2010-06-18 |
1750605630 | Erica Glancy | Allergy & Immunology | 477 Cooper Rd Ste 480, Westerville, OH 43081-8095 | 2010-03-20 |
1134310196 | Amber Marie Butcher | Audiologist-Hearing Aid Fitter | 477 Cooper Rd Ste 480, Westerville, OH 43081-8095 | 2007-08-06 |
1588653646 | David William Hauswirth | Allergy & Immunology | 477 Cooper Rd Ste 480, Westerville, OH 43081 | 2005-10-20 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952917643 | Cheryl Lynne Weitthoff | Home Health Aide | Cheryl Weitthoff, 33 Nadine Place South, Westerville, OH 43081 | 2020-09-18 |
1588274088 | Omer Mohamed | Respiratory Therapist, Certified | 5825 Leila Lane Unit 107, Westerville, OH 43081 | 2020-08-09 |
1932739174 | Norline E Ford | Counselor | 100 Dorchester Sq. Suite 102, Westerville, OH 43081 | 2020-01-15 |
1902444524 | Sabrina Shannon | Behavior Technician | 189 W. Schrock Road, Westerville, OH 43081 | 2019-12-13 |
1336786581 | New Horizon Home Health Care, LLC | Home Health | 635 Park Meadow Rd Ste 115, Unit B, Westerville, OH 43081 | 2019-12-06 |
1295389740 | Esther A Ogundare | Licensed Practical Nurse | 394 Naples Pl., Westerville, OH 43081 | 2019-08-01 |
1922580364 | Judith Luann Haynes | Nurse Practitioner | 620 S. Cleveland Ave, Westerville, OH 43081 | 2018-09-01 |
1851879878 | Erin Doone | Physical Therapist | 631 Copeland Mill Rd Ste B, Westerville, OH 43081 | 2018-08-01 |
1205312360 | Melissa Anderson | Counselor | 145 W Schrock Road, Westerville, OH 43081 | 2018-07-12 |
1407344963 | Hannah Tiberi | Nurse Practitioner | 410 Mary Ave, Westerville, OH 43081 | 2018-04-30 |
Find all providers in zip 43081 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145431 | Columbus Neuroscience LLC | Psychiatry & Neurology | 450 Alkyre Run Ste 350, Westerville, OH 43082-6912 | 2019-10-16 |
1922307453 | Omar Ahmad | Psychiatry & Neurology | 495 Cooper Rd Ste 212, Westerville, OH 43081-8735 | 2011-03-23 |
1386865111 | Xiaosong Zhao | Psychiatry & Neurology | 495 Cooper Road, Suite 212, Westerville, OH 43081 | 2007-05-01 |
1508157827 | Columbus Pain & Sleep Center | Psychiatry & Neurology | 387 County Line Rd W, Suite 225, Westerville, OH 43082-6080 | 2011-04-20 |
1003120106 | Nahid Dadmehr Md Neurology Inc | Psychiatry & Neurology | 555 W Schrock Rd, Suite 140, Westerville, OH 43081-8702 | 2010-07-30 |
1568639920 | Mount Carmel Health Providers Two LLC | Psychiatry & Neurology | 495 Cooper Rd, Suite 215, Westerville, OH 43081-8780 | 2008-05-14 |
1033314026 | Jason L Barfield | Psychiatry & Neurology | 495 Cooper Road, Suite 212, Westerville, OH 43081 | 2007-06-19 |
1508080938 | Gregory Michael Figg | Psychiatry & Neurology | 300 Polaris Pkwy, Suite 2350, Westerville, OH 43082-7989 | 2007-04-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932721305 | Stephen P Fuqua | Psychiatry & Neurology | 30 E Apple St # 5254, Dayton, OH 45409-2939 | 2020-05-08 |
1538632641 | Premier Neurology LLC | Psychiatry & Neurology | 1730 W 25th St Ste 3a, Cleveland, OH 44113-3108 | 2019-01-10 |
1285112862 | Andrew Kuntz | Psychiatry & Neurology | 1611 S Green Rd Ste 141, South Euclid, OH 44121-4121 | 2018-08-05 |
1174059174 | Padet Wattanasarn | Psychiatry & Neurology | 1070 Circle On The Grn, Columbus, OH 43235-1211 | 2017-05-11 |
1184075491 | Marek Cierny | Psychiatry & Neurology | 9500 Euclid Ave # S80, Cleveland, OH 44195-3522 | 2016-06-28 |
1952751471 | Mohamed Ridha | Psychiatry & Neurology | 260 Stetson Street Suite 2300, Mail Location 0525, Cincinnati, OH 45267-1552 | 2016-06-15 |
1508246422 | Rachel Pan | Psychiatry & Neurology | 135 N Ewing St Ste 204, Lancaster, OH 43130-3378 | 2015-06-05 |
1477940369 | Robert Joseph Stanton II | Psychiatry & Neurology | 3130 Highland Ave Fl 2, Uc Health Neurology Clinic, Cincinnati, OH 45219-2399 | 2015-04-20 |
1831591510 | Patrick Chauvel | Psychiatry & Neurology | Cleveland Clinic Epilepsy Ctr, 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2014-09-24 |
1659786481 | Amy Nicole Jarosz | Psychiatry & Neurology | 4343 All Seasons Dr Ste 250, Hilliard, OH 43026 | 2014-07-01 |
Find all providers with the same taxonomy |
City | WESTERVILLE |
Zip Code | 43081 |
Please comment or provide details below to improve the information on DR. SAMUEL K DZODZOMENYO.
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.