JAMES EDWARD FUDURIC (NPI# 1548217250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548217250 |
| Entity Type | Individual |
| Full Name | JAMES EDWARD FUDURIC |
| Credential | MD |
| Practice Address |
18697 Bagley Rd Middleburg Heights OH 44130-3417 |
| Mailing Address |
21986 Woodfield Trl Strongsville OH 44149-9203 |
| Practice Telephone | 4408168000 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2012-12-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 35038694 | OH | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
35038694 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0521242 | 05 | |
| OH | CARESOURCE | 942460636238 | 01 |
| Street Address |
18697 BAGLEY RD |
| City | MIDDLEBURG HEIGHTS |
| State | OH |
| Zip Code | 44130-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568124 | Laura Stasiak | Pharmacist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2020-05-04 |
| 1992326300 | Kyle Gustafson | Pharmacist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3497 | 2020-04-27 |
| 1295365088 | Hannah Blackburn | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2020-01-21 |
| 1861038077 | Rebecca Ann Pollack | Emergency Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3497 | 2019-11-22 |
| 1609422138 | Kali Potopsky | Physician Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-08-12 |
| 1699335588 | James Miner | Anesthesiologist Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-06-13 |
| 1871054080 | Mary Gulla | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-03-29 |
| 1629537253 | David Brian Haberman | Physical Therapist | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-03-13 |
| 1649737487 | Amanda Vitek | Nurse Practitioner | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-02-28 |
| 1356815922 | Hni Medical Services of Ohio, LLC | Internal Medicine | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801001078 | Ernesto Cabales Bunye | Pediatrics | 13501 Bennington Blvd, Middleburg Heights, OH 44130-7131 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396264453 | Sinem Akgul | Pediatrics | Livingston Ambulatory Center, 380 Butterfly Gardens Drive, Columbus, OH 43215 | 2017-09-10 |
| 1871890764 | Saroj Ajitkumar Pagedar | Pediatrics | 2317 Brigadoon Ct, Westlake, OH 44145-3024 | 2011-02-11 |
| 1295812261 | Hanan Nashed | Pediatrics | 12700 Lake Ave, Suite 705, Lakewood, OH 44107-1576 | 2006-11-01 |
| 1679659890 | Julie Smith Fennig | Pediatrics | 1775 Delco Park Dr, Kettering, OH 45420-1398 | 2006-10-31 |
| 1891881504 | Walter R Lucas | Pediatrics | 17075 Pearl Road, Strongsville, OH 44136 | 2006-10-04 |
| 1548354665 | Mary Brigid Chitwood | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-03 |
| 1033219365 | Kevin A. Horvath | Pediatrics | 1483 West Main Street, Tipp City, OH 45371 | 2006-09-25 |
| 1366544926 | Enaas F Kasheer | Pediatrics | 3966 Brown Park Dr, Suites C & D, Hilliard, OH 43026-1164 | 2006-09-03 |
| 1851306310 | Trihealth Q, LLC | Pediatrics | 3621 Rossgate Ct, Hamilton, OH 45013-9558 | 2006-07-30 |
| 1104874502 | Jessica A Kahn | Pediatrics | 3333 Burnet Ave Ml 4000, Cincinnati, OH 45229-3026 | 2006-05-05 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLEBURG HEIGHTS |
| Zip Code | 44130 |
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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.