VIVIAN VONGRUENIGEN (NPI# 1437182722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437182722 |
| Entity Type | Individual |
| Full Name | VIVIAN VONGRUENIGEN |
| Credential | MD |
| Practice Address |
3909 Orange Pl Ste 4600 Beachwood OH 44122-8400 |
| Practice Telephone | 2168443954 |
| Practice Fax Number | 2168447631 |
| Mailing Telephone | 2168443954 |
| Mailing Fax Number | 2168447631 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
35-064436 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000509187 | 01 |
| OH | MEDICARE ID | 0866278 | 01 |
| OH | WELLCARE | 364101 | 01 |
| OH | RAILROAD MEDICARE | 980000417 | 01 |
| OH | BUCKEYE | 743019 | 01 |
| OH | UNISON | 000000217450 | 01 |
| OH | 2086826 | 05 | |
| OH | AETNA | 5840608 | 01 |
| Street Address |
3909 ORANGE PL STE 4600 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-8400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730359704 | University Primary Care Practices Inc | Podiatrist | 3909 Orange Pl Ste 4600, Beachwood, OH 44122-8400 | 2008-03-06 |
| 1003961731 | University Primary Care Practices | Prosthetic/Orthotic Supplier | 3909 Orange Pl Ste 4600, Beachwood, OH 44122-8400 | 2007-01-24 |
| 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 | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487914552 | Stuart Richard Pierce | Obstetrics & Gynecology | 500 Thomas Ln Ste 4b, Columbus, OH 43214-1419 | 2012-05-23 |
| 1801023122 | Kristin Leigh Bixel | Obstetrics & Gynecology | 1145 Olentangy River Rd Ste 2100, Columbus, OH 43212-3117 | 2009-06-12 |
| 1609810779 | Richard D Kim | Obstetrics & Gynecology | 9500 Euclid Ave # R35, Cleveland, OH 44195-0001 | 2006-06-16 |
| 1477595510 | Larry J Copeland | Obstetrics & Gynecology | 3651 Ridge Mill Dr, Hilliard, OH 43026-7752 | 2006-06-12 |
| 1255328845 | Stephen J Andrews | Obstetrics & Gynecology | 161 N Forge St, Suite 298, Akron, OH 44304-1468 | 2005-09-29 |
| 1144229733 | Nicholas Reed | Obstetrics & Gynecology | 15 Messimer Dr, Newark, OH 43055-1841 | 2005-07-18 |
| 1225034622 | Luis Vaccarello | Obstetrics & Gynecology | 3100 Plaza Properties Blvd, Columbus, OH 43219-1531 | 2005-06-22 |
| 1407454655 | Jennifer Maureen Horvat | Obstetrics & Gynecology | 9500 Euclid Ave # A81, Cleveland, OH 44195-0001 | 2020-10-10 |
| 1003371915 | Summa Physicians Inc | Obstetrics & Gynecology | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-02-05 |
| 1922460799 | Adam Bernard Pendlebury | Obstetrics & Gynecology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2016-03-22 |
| Find all providers with the same taxonomy | ||||
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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.