CROSSROADS SLEEP DISORDERS CENTER LLC (NPI# 1639362957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639362957 |
| Entity Type | Organization |
| Organization Name | CROSSROADS SLEEP DISORDERS CENTER LLC |
| Practice Address |
721 Boardman Poland Rd Suite 204 Boardman OH 44512-5107 |
| Mailing Address |
721 Boardman-poland Rd Suite 204 Boardman OH 44512 |
| Practice Telephone | 3309650220 |
| Practice Fax Number | 3309659622 |
| Mailing Telephone | 3309650220 |
| Mailing Fax Number | 3309659622 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2013-07-05 |
| Authorized Official Name | MRS. DONNA CROWE (OFFICE MANAGER) |
| Authorized Official Telephone | 3309650220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
35-084112 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2488151 | 05 |
| Street Address |
721 BOARDMAN POLAND RD SUITE 204 |
| City | BOARDMAN |
| State | OH |
| Zip Code | 44512-5107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285627141 | Stephen Nathaniel Crowe | Family Medicine | 721 Boardman Poland Rd, # 204, Boardman, OH 44512-5107 | 2005-08-25 |
| 1053787945 | Active Home Care LLC | In Home Supportive Care | 721 Boardman Poland Rd, Ste 102, Boardman, OH 44512-5107 | 2015-08-14 |
| 1821494048 | Brynn Rozeski | Physical Therapist | 721 Boardman Poland Rd, Boardman, OH 44512-5107 | 2014-11-16 |
| 1720380967 | Sandra M Ciccone | Physical Therapist | 721 Boardman Poland Rd, Boardman, OH 44512-5107 | 2010-11-19 |
| 1417094475 | Hospital Dental Associates Inc | Dentist | 721 Boardman Poland Rd, Boardman, OH 44512-5107 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248740 | Kimberly Vrabel | Counselor | 725 Boardman Canfield Road Road Unit 1 and Unit 2, Boardman, OH 44512 | 2020-09-02 |
| 1043830144 | Steffi Lorraine D'souza | Student in an Organized Health Care Education/Training Program | 8423 Market Street Suite 101 St. Elizabeth Boardman Hos, Boardman, OH 44512 | 2020-04-20 |
| 1427677830 | Shivani Sharma | Family Medicine | 8423 Market Street Suite 101, St Elizabeth Boardman Hospital, Boardman, OH 44512 | 2020-04-15 |
| 1417587825 | Ronny Zetts | Pharmacist | 308 Boardman-canfield Rd, Boardman, OH 44512 | 2020-01-24 |
| 1285105080 | Andrew Dawson | Nurse Practitioner | 883 Boardman Canfield Rd Ste 105, Youngstown, OH 44512 | 2018-12-06 |
| 1700374949 | Adam Leid | Student in an Organized Health Care Education/Training Program | St Elizabeth Boardman Hospital - Medical Education Dept, 8401 Market Street, Boardman, OH 44512 | 2018-04-24 |
| 1528574910 | Herman Frank IIi | Licensed Practical Nurse | 920 Boardman Canfield Road, Boardman, OH 44512 | 2017-12-20 |
| 1730601980 | Stephanie Ann Mathews | Nurse Practitioner | 7600 Southern Blvd #1, Boardman, OH 44512 | 2017-07-10 |
| 1417485079 | Telka Ghobadi | Family Medicine | 8423 Market St., Suite 101, Boardman, OH 44512 | 2017-05-26 |
| 1356797534 | Haroon Hussain Syed | Student in an Organized Health Care Education/Training Program | 8423 Market Street, St. Elizabeth Boardman Hospital, Boardman, OH 44512 | 2016-05-06 |
| Find all providers in zip 44512 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
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| 1386101210 | Cleveland Medical Devices Inc | Clinic/Center | 4415 Euclid Ave Ste 400, Cleveland, OH 44103-3757 | 2019-02-27 |
| 1912447186 | The Cleveland Clinic Foundation | Clinic/Center | 5785 Heisley Rd, Ste 118, Mentor, OH 44060-1883 | 2017-03-07 |
| 1679021745 | Lima Memorial Professional Corporation | Clinic/Center | 528 W Market St Ste 200b, Lima, OH 45801-4762 | 2016-09-16 |
| 1205230141 | Sleep Optima Dental Network, LLC | Clinic/Center | 26380 Curtiss Wright Pkwy, Suite 303, Richmond Hts, OH 44143-4407 | 2014-10-21 |
| 1639440340 | Buckeye Sleep Diagnostics, LLC | Clinic/Center | 3545 Plymouth Springmill Rd, Shelby, OH 44875-9581 | 2012-01-26 |
| 1891004172 | Ohiohealth Sleep Services, LLC | Clinic/Center | 801 Ohio Health Blvd., Suite 250, Delaware, OH 43015-7870 | 2010-10-04 |
| 1770804999 | Ohiohealth Sleep Services, LLC | Clinic/Center | 4363 All Seasons Drive, Suite 280, Hilliard, OH 43026-1960 | 2010-06-22 |
| 1700118445 | Professional Sleep Diagnostics, Inc | Clinic/Center | 5897 County Road 107, Proctorville, OH 45669-8852 | 2010-02-05 |
| 1023266798 | Ohiohealth Sleep Services LLC | Clinic/Center | 151 Clint Rd, Suite 100, Pickerington, OH 43147-7749 | 2008-09-05 |
| 1205002557 | Custom Sleep Solutions, LLC | Clinic/Center | 379 N West St, Westerville, OH 43082-1400 | 2008-05-07 |
| Find all providers with the same taxonomy | ||||
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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.