IRIS ALISA JAVERSAK (NPI# 1417508151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417508151 |
| Entity Type | Individual |
| Full Name | IRIS ALISA JAVERSAK |
| Credential | PA-C |
| Practice Address |
75 Arch St Akron OH 44304-1429 |
| Mailing Address |
1895 W 52nd St Cleveland OH 44102-3339 |
| Practice Telephone | 3303757055 |
| Mailing Telephone | 3302688604 |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 50.006017RX | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3378 W Market St, Fairlawn, OH 443333306 | 3305763500 |
| Street Address |
75 ARCH ST |
| City | AKRON |
| State | OH |
| Zip Code | 44304-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561635 | Lara Burrows | Obstetrics & Gynecology | 75 Arch St, Ste. 102, Akron, OH 44304-1429 | 2005-07-13 |
| 1992281810 | Andrea Lynn Hobson | Physician Assistant | 75 Arch St, Akron, OH 44304-1429 | 2018-07-13 |
| 1134671944 | Kelly Dana Quirk | Nurse Practitioner | 75 Arch St, Suite G2, Akron, OH 44304-1429 | 2016-10-27 |
| 1639627342 | Renee Majoy | Nurse Practitioner | 75 Arch St, Akron, OH 44304-1429 | 2016-09-12 |
| 1427409663 | Dominic Terzigni | Nurse Practitioner | 75 Arch St, Suite 206, Akron, OH 44304-1429 | 2016-06-29 |
| 1982064119 | Kristin Roberts | Nurse Practitioner | 75 Arch St, Suite G2, Akron, OH 44304-1429 | 2016-03-01 |
| 1588046544 | Janet Wong | Dentist | 75 Arch St, Suite 303, Akron, OH 44304-1429 | 2015-06-25 |
| 1649681917 | Summa Physicians Inc | Psychologist | 75 Arch St, Ste. 410, Akron, OH 44304-1429 | 2014-05-08 |
| 1801206461 | Catherine Rosenthal | Clinical Nurse Specialist | 75 Arch St, Suite 301, Akron, OH 44304-1429 | 2014-05-05 |
| 1275953119 | Jason Chancer | Ophthalmology | 75 Arch St, Suite 202, Akron, OH 44304-1429 | 2014-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
| 1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
| 1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
| 1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
| 1871121889 | Haley Marie Coleman | Student in an Organized Health Care Education/Training Program | Summa Health/ Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-03-27 |
| 1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
| 1457918328 | Brandy Deem | Counselor | 87 N Forge St, Akron, OH 44304 | 2019-05-24 |
| 1184187445 | Zoe Nastasic Jones | Student in an Organized Health Care Education/Training Program | Summa Health 525 East Market St., Akron, OH 44304 | 2019-04-12 |
| 1780147751 | Nidhi Khullar | Student in an Organized Health Care Education/Training Program | Summa Health Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2019-04-08 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952934358 | Lauren Asman | Physician Assistant | 3975 Embassy Pkwy Ste 102, Akron, OH 44333-8335 | 2020-02-14 |
| 1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
| 1013422377 | Brittany Johnson | Physician Assistant | 1622 E Turkeyfoot Lake Rd Ste 201, Akron, OH 44312-5277 | 2017-12-08 |
| 1700328358 | Allison Orf | Physician Assistant | 1037 North Main Street, Suite A, Akron, OH 44310-1453 | 2016-11-14 |
| 1780016493 | Deborah K Calderwood | Physician Assistant | 1 Akron General Ave. Building 301, Floor 2, Akron, OH 44307 | 2013-08-05 |
| 1417112590 | Summa Physicians Inc | Physician Assistant | 95 Arch St Ste 240, Akron, OH 44304-1496 | 2008-07-28 |
| 1417124314 | Jennifer Jo Portmann | Physician Assistant | 762 S. Cleveland-massillon Rd., Akron, OH 44333 | 2008-05-11 |
| 1689628505 | Calvin P Davis Jr. | Physician Assistant | 3975 Embassy Pkwy Ste 3, Akron, OH 44333-8320 | 2006-05-22 |
| 1972568046 | Jennifer A Theis | Physician Assistant | 3333 Massillon Rd Ste 102, Akron, OH 44312-5982 | 2006-04-20 |
| 1558324996 | Robert W Watson Jr. | Physician Assistant | 321 Mill St, Akron, IA 51001 | 2006-04-07 |
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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.