CAROL DERWACTER (NPI# 1619953924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619953924 |
| Entity Type | Individual |
| Full Name | CAROL DERWACTER |
| Credential | C.N.P. |
| Practice Address |
2945 Maple Ave Zanesville OH 43701-1753 |
| Mailing Address |
860 Bethesda Dr Zanesville OH 43701-1800 |
| Practice Telephone | 7404540196 |
| Practice Fax Number | 7404547834 |
| Mailing Telephone | 7404544651 |
| Mailing Fax Number | 7404544653 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2008-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
NP04044 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2043354 | 05 | |
| OH | CARESOURCE PIN | 311413469060 | 01 |
| OH | GROUP MEDICAID | 0989499 | 01 |
| OH | MEDICARE RAILROAD | 080146341 | 01 |
| MEDICARE PTAN | DENP03501 | 01 | |
| GROUP MEDICARE RAILROAD | CA1586 | 01 |
| Street Address |
2945 MAPLE AVE |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 43701-1753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720088966 | Tami L Mohan | Physician Assistant | 2945 Maple Ave, Zanesville, OH 43701-1762 | 2005-07-29 |
| 1356726046 | Alissa S Wilson | Nurse Practitioner | 2945 Maple Ave, Zanesville, OH 43701-1762 | 2015-07-23 |
| 1366651689 | Southeastern Ohio Hearing Aid Center, Ltd | Clinic/Center | 2945 Maple Ave, Zanesville, OH 43701-1762 | 2007-05-22 |
| 1215096854 | Thomas Rojewski | Otolaryngology | 2945 Maple Ave, Zanesville, OH 43701-1762 | 2006-12-08 |
| 1033104104 | Philip W Kocoloski | Anesthesiology | 2945 Maple Ave, Zanesville, OH 43701-1762 | 2005-09-15 |
| 1245223619 | William Wei-jung Chang | Physical Medicine & Rehabilitation | 2945 Maple Ave, Zanesville, OH 43701-1762 | 2005-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1871010975 | Amy Caroline Blackford | Occupational Therapist | 4039 Old Wheeling Road, Zanesville, OH 43701 | 2017-08-29 |
| 1598286825 | Michele Ann Ehrnfield | Counselor | 930 Bethesda Drive, Zanesville, OH 43701 | 2017-06-27 |
| 1306382163 | Nadine Curry | Counselor | 4509 Pinkerton Rd, Foxfire Schools, Zanesville, OH 43701 | 2017-01-17 |
| 1669916219 | Kathleen Caughell | Counselor | 1590 Coal Run Rd, Zanesville, OH 43701 | 2016-12-15 |
| 1154877728 | Katherine Williams | Registered Nurse | 1125 Ellis Dam Rd, Zanesville, OH 43701 | 2016-09-01 |
| 1801342415 | Foxfire Intermediate School | Local Education Agency (LEA) | 2805 Pinkerton Road, Zanesville, OH 43701 | 2016-09-01 |
| 1770936353 | Tiffany Branson | Nurse Practitioner | 955 Bethesda Drive, 1st Floor, Zanesville, OH 43701 | 2016-07-19 |
| 1194175497 | Life Support Therapy Services LLC | Counselor | 941 Blue Ave, Zanesville, OH 43701 | 2016-06-16 |
| 1669876546 | Tami Sue Wofter | Licensed Practical Nurse | 21 Butler Drive, Zanesville, OH 43701 | 2014-10-21 |
| Find all providers in zip 43701 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265910384 | January Lee Beach | Nurse Practitioner | 2525 Maple Ave Ste 1, Zanesville, OH 43701-1896 | 2018-07-31 |
| 1629544242 | Courtney Lane Camp | Nurse Practitioner | 3237 Maple Ave, Zanesville, OH 43701-1312 | 2018-10-22 |
| 1992287015 | Amy Catherine Rae Glenn | Nurse Practitioner | 955 Bethesda Dr, Zanesville, OH 43701 | 2018-09-05 |
| 1508904574 | Catherine Sue Blair | Nurse Practitioner | 2800 Maple Ave, Zanesville, OH 43701-1716 | 2007-02-02 |
| 1114072162 | Susan Irene Cabeen | Nurse Practitioner | 2800 Maple Ave, Zanesville, OH 43701-1716 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891394235 | Lisa Ann Popovich | Nurse Practitioner | 3703 Canon Ridge Pl, Columbus, OH 43230-4010 | 2020-10-17 |
| 1598362402 | Kate Suzanne Mccombs | Nurse Practitioner | 6681 Ridge Rd Ste 30, Parma, OH 44129-5705 | 2020-10-04 |
| 1013523745 | Yangyang Hu | Nurse Practitioner | 2042 Golden Oaks Dr, Kent, OH 44240-8198 | 2020-09-17 |
| 1659982494 | Lauren Rainey | Nurse Practitioner | 70 N Hillside Rd, Canfield, OH 44406-1335 | 2020-08-14 |
| 1932710928 | Bobbie Duda | Nurse Practitioner | 6454 Paine Rd, Painesville, OH 44077-9318 | 2020-08-12 |
| 1235756461 | Sara Mauk | Nurse Practitioner | 6780 Mayfield Rd Rm 323, Mayfield Heights, OH 44124-2203 | 2020-07-04 |
| 1629694153 | Laraine Elizabeth Tench | Nurse Practitioner | 9500 Euclid Ave # G110, Cleveland, OH 44195-0001 | 2020-06-20 |
| 1316563109 | Isabelle Noffsinger | Nurse Practitioner | 6443 Far Hills Ave, Washington Township, OH 45459-2725 | 2020-06-17 |
| 1497375604 | Allison Ferguson | Nurse Practitioner | 3641 Shepherd St Nw, North Canton, OH 44720-7949 | 2020-04-17 |
| 1154940708 | Elizabeth Clare Gaydosh | Nurse Practitioner | 4680 Autumn Run Dr, Medina, OH 44256-8821 | 2020-04-14 |
| Find all providers with the same taxonomy | ||||
| City | ZANESVILLE |
| Zip Code | 43701 |
Please comment or provide details below to improve the information on CAROL DERWACTER.
| 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.