DR. JOHN J MIZENKO (NPI# 1417958703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417958703 |
| Entity Type | Individual |
| Full Name | DR. JOHN J MIZENKO |
| Credential | D.O. |
| Practice Address |
4100 Warrensville Center Rd Suite 203 Warrensville Heights OH 44122-7024 |
| Practice Telephone | 2165610801 |
| Mailing Telephone | 2165610801 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
34001263M | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0089961 | 05 |
| Street Address |
4100 WARRENSVILLE CENTER RD SUITE 203 |
| City | WARRENSVILLE HEIGHTS |
| State | OH |
| Zip Code | 44122-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598198004 | Plastic Surgery Institute of Ohio, LLC | Plastic Surgery | 4100 Warrensville Center Rd, Ste 101, Warrensville Heights, OH 44122-7024 | 2013-08-20 |
| 1194922518 | Amy Leigh Knowlton | Recreation Therapist | 4100 Warrensville Center Rd, Building A, 4th Floor, Warrensville Heights, OH 44122-7024 | 2007-06-29 |
| 1760686398 | Jared Christopher Storck | Surgery | 4100 Warrensville Center Rd, Suite 101, Warrensville Heights, OH 44122-7024 | 2007-06-14 |
| 1720108137 | Roger F. Classen, D.o., Inc. | Surgery | 4100 Warrensville Center Rd, Suite #101, Warrensville Heights, OH 44122-7024 | 2007-03-30 |
| 1871639146 | Cleveland Vascular Institute, LLC | Nurse Practitioner | 4100 Warrensville Center Rd, Suite 1002, Warrensville Heights, OH 44122-7024 | 2007-01-30 |
| 1336163765 | Jeffrey A Stanley | Surgery | 4100 Warrensville Center Rd, Ste 1002, Warrensville Heights, OH 44122-7024 | 2006-07-27 |
| 1316992944 | Meridia Medical Group, LLC | Specialist | 4100 Warrensville Center Rd, Warrensville Heights, OH 44122-7024 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518963206 | Michael Cline | Internal Medicine | 20000 Harvard Ave, Warrensville Heights, OH 44122-6805 | 2005-06-27 |
| 1932498235 | Ari Benjamin Garber | Internal Medicine | 20050 Harvard Ave, Warrensville Heights, OH 44122 | 2011-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043779911 | Gregory B Cortese | Internal Medicine | 32800 Lorain Rd, North Ridgeville, OH 44039-3430 | 2019-03-19 |
| 1619461381 | Beth Kulow | Internal Medicine | 395 W 12th Ave Fl 2, Columbus, OH 43210-1267 | 2018-06-18 |
| 1467961078 | Gastro Office LLC | Internal Medicine | 4600 Leap Ct Ste 101, Hilliard, OH 43026-1171 | 2017-09-26 |
| 1023536687 | Specialty Medicine Care, LLC | Internal Medicine | 1989 Miamisburg Centerville Rd Ste 304, Dayton, OH 45459-3823 | 2017-09-05 |
| 1861925430 | Ohio Digestive and Liver Associates LLC | Internal Medicine | 503 Wooster Rd, Mount Vernon, OH 43050-1486 | 2017-04-10 |
| 1982099370 | Michael Kurin | Internal Medicine | 11100 Euclid Ave Ste 247, Cleveland, OH 44106-1716 | 2015-04-02 |
| 1396140604 | Noufal Jajeh | Internal Medicine | 930 Wapakoneta Ave, Sidney, OH 45365-1460 | 2014-10-29 |
| 1619371580 | Specialty Medicine Care, LLC | Internal Medicine | 1250 W. National Rd, Suite 700, Englewood, OH 45315 | 2014-10-21 |
| 1821417239 | Ahmad Nasr Anaizi | Internal Medicine | 1025 Refugee Rd Fl 1, Pickerington, OH 43147-9861 | 2014-04-14 |
| 1205260890 | Columbiana Gastroenterology Group Inc | Internal Medicine | 235 E State Route 14, Columbiana, OH 44408-8494 | 2013-08-30 |
| Find all providers with the same taxonomy | ||||
| City | WARRENSVILLE HEIGHTS |
| Zip Code | 44122 |
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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.