DR. JOHN ROBERT BLAKEMORE (NPI# 1497722268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497722268 |
Entity Type | Individual |
Full Name | DR. JOHN ROBERT BLAKEMORE |
Credential | D.D.S. |
Practice Address |
26777 Lorain Road #600 North Olmsted OH 44070-3222 |
Practice Telephone | 4407343131 |
Practice Fax Number | 4407343486 |
Mailing Telephone | 4407343131 |
Mailing Fax Number | 4407343466 |
Enumeration Date | 2006-03-01 |
Last Update Date | 2016-01-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30.013848 | OH | Dental Providers |
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
30013848 | OH | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | DENTAL | 30013848 | 01 |
DEA | AB7721586 | 01 |
Street Address |
26777 LORAIN ROAD #600 |
City | NORTH OLMSTED |
State | OH |
Zip Code | 44070-3222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104171032 | Barbara A Reitman | Counselor | 26777 Lorain Road, #308, North Olmsted, OH 44070-3225 | 2012-07-17 |
1881986446 | H.o.p.e. Counseling | Community/Behavioral Health | 26777 Lorain Road, Suite 403, North Olmsted, OH 44070 | 2011-05-13 |
1891005161 | Trista D Piccola | Social Worker | 26777 Lorain Road, Suite 308, North Olmsted, OH 44070 | 2010-10-20 |
1548583198 | Gregory Alan Plona | Dentist | 26777 Lorain Road, #600, North Olmsted, OH 44070-3222 | 2010-03-10 |
1265697668 | Raymond Peter Plona IIi | Dentist | 26777 Lorain Road, #600, North Olmsted, OH 44070-3222 | 2008-07-24 |
1891847554 | Megan B Desimone Dds Inc | Dentist | 26777 Lorain Road, Suite 514, North Olmsted, OH 44070 | 2007-01-16 |
1649337429 | Joseph C Vedda | General Practice | 26777 Lorain Road, Suite 215, North Olmsted, OH 44070 | 2007-01-02 |
1053330282 | Mark Marvald | Social Worker | 26777 Lorain Road, Ste 314, North Olmsted, OH 44070-3225 | 2006-07-19 |
1669402210 | Rockland Allan Ray | Dentist | 26777 Lorain Road, Suite 514, North Olmsted, OH 44070 | 2006-07-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801270517 | Residence Home Care LLC | Home Health | 30701 Lorain Rd, Suite B, North Olmsted, OH 44070 | 2015-07-13 |
1205265188 | Audra Maria Popik | Counselor | 6758 Warrington Dr, North Olmsted, OH 44070 | 2013-11-01 |
1891092128 | Michael J Skoda | Counselor | 26777 Lorain Rd Ste 403, North Olmsted, OH 44070 | 2011-02-23 |
1679875058 | Nathan T Stuckey | Pharmacist | 5737 Decker Rd, North Olmsted, OH 44070 | 2010-11-17 |
1710216874 | Tracey Powell Blake | Respiratory Therapist, Registered | 23916 Elm Road, North Olmsted, OH 44070 | 2009-12-18 |
1598911356 | St. Clarence Geac | Assisted Living Facility | 30344 Lorain Rd., North Olmsted, OH 44070 | 2008-08-13 |
1568597870 | Shannon Marie Gorman | Home Health Aide | 3801 Brendan Lane, C4, North Olmsted, OH 44070 | 2007-02-23 |
1902980097 | Arthur Jeffrey Schechtman | Dentist | 920 Great Northern Mall, North Olmstead, OH 44070 | 2006-10-25 |
1417054305 | Marta Takacs | Psychologist | 4859 Dover Center Rd #9, N Olmsted, OH 44070 | 2006-09-20 |
1245336643 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 832 Great Northern Mall, North Olmsted, OH 44070 | 2006-09-15 |
Find all providers in zip 44070 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548583198 | Gregory Alan Plona | Dentist | 26777 Lorain Road, #600, North Olmsted, OH 44070-3222 | 2010-03-10 |
1265697668 | Raymond Peter Plona IIi | Dentist | 26777 Lorain Road, #600, North Olmsted, OH 44070-3222 | 2008-07-24 |
1255492054 | North Coast Jaw Center. LLC | Dentist | 26777 Lorain Rd, Suite 600, North Olmsted, OH 44070-3200 | 2006-12-13 |
1275500183 | William Stephen Blood | Dentist | 26777 Lorain Rd, #600, North Olmsted, OH 44070-3222 | 2006-03-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740846559 | Daniel Schwartz, Dmd, Md, LLC | Dentist | 23250 Chagrin Blvd Ste 205, Beachwood, OH 44122-5416 | 2019-05-16 |
1649834144 | William W. Francis Dds, LLC | Dentist | 27500 Detroit Rd Ste 104, Suite 104, Westlake, OH 44145-5913 | 2019-04-30 |
1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
1285041186 | Ahmad Ali Millwala Dmd Oral and Maxillofacial Surgery Co | Dentist | 2846 Double Eagle Dr, Beavercreek, OH 45431-4709 | 2014-07-14 |
1427489566 | Thomas Gerosky, D.m.d. Inc | Dentist | 215 Miller Road, Avon Lake, OH 44012 | 2013-11-27 |
1346685195 | Matthew Thomas Marshall | Dentist | 3075 Smith Rd Ste 102, Fairlawn, OH 44333-4453 | 2013-05-07 |
1629329198 | Amherst Oral Surgery and Implant Center LLC | Dentist | 550 N Leavitt Rd, Amherst, OH 44001-1131 | 2012-09-25 |
1568710655 | Manraj S. Bath, Dds, Inc. | Dentist | 1575 Cross Creeks Blvd., Pickerington, OH 43147 | 2012-08-21 |
1467707018 | Matthew Aaron Popper | Dentist | 5825 Landerbrook Dr Ste 125, Cleveland, OH 44124 | 2012-07-19 |
1548534415 | Bushey Oral and Maxillofacial Surgery, Inc. | Dentist | 7081 West Blvd., Suite 1, Youngstown, OH 44512 | 2012-02-24 |
Find all providers with the same taxonomy |
City | NORTH OLMSTED |
Zip Code | 44070 |
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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.