MARK DAVANZO MD LLC (NPI# 1548406556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548406556 |
| Entity Type | Organization |
| Organization Name | MARK DAVANZO MD LLC |
| Practice Address |
477 Cooper Road Suite 440 Westerville OH 43081-8053 |
| Practice Telephone | 6148985520 |
| Practice Fax Number | 6148985563 |
| Mailing Telephone | 6148985520 |
| Mailing Fax Number | 6148985563 |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2011-02-18 |
| Authorized Official Name | MARK E. DAVANZO (MD/OWNER AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 6148985561 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 35042997 | OH | Other Service Providers |
| Y | 208600000X | Surgery | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RR MEDICARE | DP3368 | 01 |
| Street Address |
477 COOPER ROAD SUITE 440 |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43081-8053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336437201 | James Alexander Gangar | Student in an Organized Health Care Education/Training Program | 477 Cooper Road, Suite 300, Westerville, OH 43081 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917643 | Cheryl Lynne Weitthoff | Home Health Aide | Cheryl Weitthoff, 33 Nadine Place South, Westerville, OH 43081 | 2020-09-18 |
| 1588274088 | Omer Mohamed | Respiratory Therapist, Certified | 5825 Leila Lane Unit 107, Westerville, OH 43081 | 2020-08-09 |
| 1932739174 | Norline E Ford | Counselor | 100 Dorchester Sq. Suite 102, Westerville, OH 43081 | 2020-01-15 |
| 1902444524 | Sabrina Shannon | Behavior Technician | 189 W. Schrock Road, Westerville, OH 43081 | 2019-12-13 |
| 1336786581 | New Horizon Home Health Care, LLC | Home Health | 635 Park Meadow Rd Ste 115, Unit B, Westerville, OH 43081 | 2019-12-06 |
| 1295389740 | Esther A Ogundare | Licensed Practical Nurse | 394 Naples Pl., Westerville, OH 43081 | 2019-08-01 |
| 1922580364 | Judith Luann Haynes | Nurse Practitioner | 620 S. Cleveland Ave, Westerville, OH 43081 | 2018-09-01 |
| 1851879878 | Erin Doone | Physical Therapist | 631 Copeland Mill Rd Ste B, Westerville, OH 43081 | 2018-08-01 |
| 1205312360 | Melissa Anderson | Counselor | 145 W Schrock Road, Westerville, OH 43081 | 2018-07-12 |
| 1407344963 | Hannah Tiberi | Nurse Practitioner | 410 Mary Ave, Westerville, OH 43081 | 2018-04-30 |
| Find all providers in zip 43081 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417290834 | Brandon J Murphy | Surgery | 477 Cooper Rd Ste 440, Westerville, OH 43081 | 2013-04-03 |
| 1164597910 | David R Lawrence | Surgery | 7494 Frasier Rd, Westerville, OH 43082-8521 | 2006-11-21 |
| 1881699759 | Kim Scott Hamelberg | Surgery | 495 Cooper Rd, Ste 430, Westerville, OH 43081-8723 | 2005-06-16 |
| 1871034355 | Westerville Surgical Specialists | Surgery | 477 Cooper Rd, Ste 440, Westerville, OH 43081-8053 | 2017-03-16 |
| 1578974028 | Brian Davanzo | Surgery | 477 Cooper Rd Ste 440, Westerville, OH 43081-8055 | 2014-05-17 |
| 1265508386 | Breast Care Specialists, Inc. | Surgery | 477 Cooper Rd, Suite 310, Westerville, OH 43081-8053 | 2006-11-28 |
| 1770527202 | Timothy Kelly | Surgery | 477 Cooper Rd, Suite 440, Westerville, OH 43081-8053 | 2006-06-15 |
| 1689618118 | Mark E Davanzo | Surgery | 477 Cooper Rd, Suite 440, Westerville, OH 43081-8053 | 2006-06-15 |
| 1811937659 | Bryan Grischow | Surgery | 477 Cooper Rd, Ste 440, Westerville, OH 43081-8053 | 2006-06-08 |
| 1679538177 | Richard Shane Brown | Surgery | 477 Cooper Rd, Suite 440, Westerville, OH 43081-8053 | 2006-04-18 |
| Find all providers in WESTERVILLE | ||||
| City | WESTERVILLE |
| Zip Code | 43081 |
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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.