HEALTHSPAN INTEGRATED CARE (NPI# 1649607433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649607433 |
| Entity Type | Organization |
| Organization Name | HEALTHSPAN INTEGRATED CARE |
| Practice Address |
5105 Som Center Rd Willoughby OH 44094-4203 |
| Mailing Address |
615 Elsinore Pl Cincinnati OH 45202-1459 |
| Practice Telephone | 2162658810 |
| Practice Fax Number | 2162658890 |
| Mailing Telephone | 5136392722 |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |
| Authorized Official Name | MR. DAVID A NOWISKI (CFO) |
| Authorized Official Telephone | 5136392722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073941803 | Healthspan Integrated Care | Family Medicine | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2013-10-14 |
| 1700213592 | Healthspan Integrated Care | Pediatrics | 19999 Rockside Rd, Bedford, OH 44146-2074 | 2013-10-11 |
| 1659708444 | Healthspan Integrated Care | Pediatrics | 17406 Royalton Rd, Strongsville, OH 44136-5151 | 2013-10-11 |
| 1962839753 | Healthspan Integrated Care | Obstetrics & Gynecology | 1260 Independence Ave, Akron, OH 44310-1812 | 2013-10-11 |
| 1740617539 | Healthspan Integrated Care | Emergency Medicine | 12301 Snow Rd, Cleveland, OH 44130-1002 | 2013-10-11 |
| 1457788234 | Healthspan Integrated Care | Pediatrics | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2013-10-11 |
| 1285061069 | Healthspan Integrated Care | Pediatrics | 3443 Medina Rd, Suite 108, Medina, OH 44256-5360 | 2013-10-11 |
| 1164859948 | Healthspan Integrated Care | Pediatrics | 2500 State Route 59, Suite 28, Kent, OH 44240-7105 | 2013-10-11 |
| 1073940854 | Healthspan Integrated Care | Pediatrics | 7536 Fredle Dr, Concord Twp, OH 44077-9406 | 2013-10-11 |
| 1871920660 | Healthspan Integrated Care | Emergency Medicine | 10 Severance Cir, Cleveland Hts, OH 44118-1533 | 2013-10-11 |
| Street Address |
5105 SOM CENTER RD |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437163581 | Robert Schiavone | Pharmacist | 5105 Som Center Rd, Kaiser Pharmacy, Willoughby, OH 44094-4203 | 2006-07-27 |
| 1629508619 | Jubilee Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2017-06-13 |
| 1093104598 | Kimberly Ann Svec | Nurse Practitioner | 5105 Som Center Rd, # 106, Willoughby, OH 44094-4203 | 2015-01-21 |
| 1033521422 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-05-20 |
| 1952728925 | Ashley E Hoffman | Pharmacist | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2014-03-27 |
| 1114260122 | Tam Pham Mclean | Family Medicine | 5105 Som Center Rd, #106, Willoughby, OH 44094-4203 | 2013-03-28 |
| 1104159862 | Lori A Provenzano | Case Manager/Care Coordinator | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2009-09-14 |
| 1023253143 | Julia Lynn Thomas | Pharmacist | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2008-12-03 |
| 1528132800 | Sharon Brady | Pharmacist | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2006-11-20 |
| 1700967254 | Marguerite Ursula Patton | Registered Nurse | 5105 Som Center Rd, Willoughby, OH 44094-4203 | 2006-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619234689 | John William Horinger Jr. | Internal Medicine | 36100 Euclid Ave Ste 240, Willoughby, OH 44094-4427 | 2012-04-16 |
| 1427291061 | Adriatik Kellici | Internal Medicine | 38582 Heritage Ct, Willoughby, OH 44094-8839 | 2009-04-13 |
| 1164697629 | Lake Hospital System Inc | Internal Medicine | 2747 Som Center Rd, Willoughby, OH 44094-9164 | 2008-04-25 |
| 1356566848 | Joel Stuart Steinberg | Internal Medicine | 5370 Som Center Rd, Willoughby, OH 44094-4208 | 2007-04-17 |
| 1306967807 | Drs Byers & Birnbaum Inc | Internal Medicine | 35040 Chardon Rd Ste G200, Willoughby, OH 44094-9055 | 2007-04-02 |
| 1982782363 | Dawn Renee Joseph | Internal Medicine | 5105 Som Center Rd., Kaiser Permanente, Willoughby, OH 44094 | 2006-11-01 |
| 1487750477 | Marinela L Turc | Internal Medicine | 36001 Euclid Ave Ste B11, Willoughby, OH 44094-4651 | 2006-09-16 |
| 1861508103 | Robert T. Mulcahy | Internal Medicine | 36100 Euclid Avenue #240, Willoughby, OH 44094 | 2006-08-21 |
| 1144756248 | Jennifer Ashley Bostick | Internal Medicine | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2017-05-10 |
| 1861928962 | Andrew Bostick | Internal Medicine | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2017-05-10 |
| Find all providers in WILLOUGHBY | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.