MS. KELLIANN NOTARO (NPI# 1588274344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588274344 |
| Entity Type | Individual |
| Full Name | MS. KELLIANN NOTARO |
| Credential | PA |
| Practice Address |
15299 Bagley Rd Middleburg Heights OH 44130-4809 |
| Mailing Address |
Po Box 378 Sandusky OH 44871-0378 |
| Practice Telephone | 4408852100 |
| Mailing Telephone | 4196266161 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
15299 BAGLEY RD |
| City | MIDDLEBURG HEIGHTS |
| State | OH |
| Zip Code | 44130-4809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073125795 | Christine Caroline Gates | Physical Therapist | 15299 Bagley Rd, Middleburg Heights, OH 44130-4809 | 2020-08-24 |
| 1740410521 | Northern Ohio Medical Specialists,llc | Durable Medical Equipment & Medical Supplies | 15299 Bagley Rd, Suite 100, Middleburg Heights, OH 44130-4823 | 2009-07-15 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497230148 | Samantha Mary Thompson | Physician Assistant | 14465 Newton Rd, Middleburg Heights, OH 44130-2692 | 2018-09-28 |
| 1609422138 | Kali Potopsky | Physician Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2019-08-12 |
| 1114587011 | Nicole Newman | Physician Assistant | 7255 Old Oak Blvd Ste C405, Middleburg Heights, OH 44130-3331 | 2019-06-13 |
| 1326548850 | Jenna M Rindler | Physician Assistant | 15345 Bagley Rd, Middleburg Heights, OH 44130-4825 | 2018-02-21 |
| 1760911895 | Ian Sparks | Physician Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2017-06-12 |
| 1265827604 | Tyler Sparks | Physician Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2015-04-02 |
| 1679961817 | Heather Colonna | Physician Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2014-12-22 |
| 1801113519 | Jessica St. Aubin | Physician Assistant | 18697 Bagley Rd, Department of Surgery, Middleburg Heights, OH 44130 | 2010-04-21 |
| 1467519108 | Sandi Lee Asazawa | Physician Assistant | 7271 Engle Rd, Suite 115, Middleburg Heights, OH 44130-8488 | 2007-01-02 |
| 1083654610 | Robert Speicher | Physician Assistant | 18697 Bagley Rd, Middleburg Heights, OH 44130-3417 | 2006-06-08 |
| Find all providers in MIDDLEBURG HEIGHTS | ||||
| 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.