DR. DAVID S STADNICK (NPI# 1659332054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659332054 |
| Entity Type | Individual |
| Full Name | DR. DAVID S STADNICK |
| Credential | MD |
| Practice Address |
335 Glessner Ave Mansfield OH 44903-2269 |
| Mailing Address |
5400 Frantz Rd Suite 250 Dublin OH 43016-4144 |
| Practice Telephone | 4197568899 |
| Mailing Telephone | 6145446356 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2015-11-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
35-050219 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0656820 | 05 |
| Street Address |
335 GLESSNER AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44903-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203153 | Jose Joaquin Norberto | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2005-05-23 |
| 1902404643 | Brian George | Pharmacist | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-10-14 |
| 1407460165 | Andrea Joyce Lankester | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1780298422 | Garrett Brendan Stough | Nurse Anesthetist, Certified Registered | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-09-01 |
| 1629696802 | Medcentral Health System | Pharmacy | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-07-14 |
| 1982231775 | Deidra Carolina Momeyer | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-03-24 |
| 1144857772 | Fabiana Patino | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2020-03-24 |
| 1144868910 | Amanda Marie Mcmullen | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-12-12 |
| 1144862566 | Marissa Catherine Lacey | Physician Assistant | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-10-17 |
| 1891347258 | Kassandra Lee Robinson | Nurse Practitioner | 335 Glessner Ave, Mansfield, OH 44903-2269 | 2019-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710495304 | Meredith Remy | Specialist/Technologist | 864 St. Rt. 314 S, Mansfield, OH 44903 | 2018-01-17 |
| 1639695174 | Judd Mateo | Home Health Aide | 1027 Neil Circle N., Mansfield, OH 44903 | 2017-08-16 |
| 1942722517 | Leighana Nichole Smith | Licensed Practical Nurse | 1451 Lucas Rd., Mansfield, OH 44903 | 2017-07-14 |
| 1528481710 | Sarah Elizabeth Hoffman | Occupational Therapy Assistant | 1600 Crider Rd., Mansfield, OH 44903 | 2014-01-24 |
| 1881025195 | Erica Renee Hanley | Occupational Therapy Assistant | 1600 Crider Road, Mansfield, OH 44903 | 2013-12-12 |
| 1164768917 | Colette Elaine Germann | Licensed Practical Nurse | 695 Satinwood N Cr, Mansfield, OH 44903 | 2012-12-26 |
| 1386996577 | Nicky Lynn Cole | Home Health Aide | 135 Columbia Avenue, Mansfield, OH 44903 | 2012-10-11 |
| 1215217989 | Darein Lee Wilson | Nurse's Aide | 175 Colonial Drive, Mansfield, OH 44903 | 2011-08-25 |
| 1205070802 | Simone Nannette Robinson | Licensed Practical Nurse | 576 Garfield Place, Mansfield, OH 44903 | 2009-04-27 |
| 1659518991 | Amelia Faye Johnson Grund | Nurse Practitioner | 336 Glessner Ave, Mob 2nd Fl, Mansfield, OH 44903 | 2009-01-08 |
| Find all providers in zip 44903 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1679534077 | Mansfield Orthopaedic Surgery & Rheumatology Inc | Internal Medicine | 536 S Trimble Rd, Mansfield, OH 44906 | 2006-03-28 |
| 1235150756 | Peter A. Fischer | Internal Medicine | 200 Copeland Dr, Mansfield, MA 02048-1225 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1487048617 | Juliette Yedimenko | Internal Medicine | 9500 Euclid Ave # A50, Cleveland, OH 44195-0001 | 2015-03-25 |
| 1740623628 | Licking Memorial Professional Corporation | Internal Medicine | 1272 West Main Street Bldg 2, Ste 4, Newark, OH 43055 | 2013-04-10 |
| 1790020501 | Bruce Wall | Internal Medicine | 700 Ackerman Rd Ste 580, Columbus, OH 43202-1589 | 2012-12-05 |
| 1942563218 | Beatrice Kenol | Internal Medicine | 3691 Ridge Mill Dr Fl 1, Hilliard, OH 43026-7752 | 2012-06-20 |
| 1902136443 | Thomas James Romano | Internal Medicine | 205 N 5th St, Martins Ferry, OH 43935-1530 | 2010-01-06 |
| 1295061224 | Robert V. Hemphill | Internal Medicine | 1241 Briarhill Spur, Akron, OH 44333 | 2009-10-27 |
| 1639317696 | Frederic Carl Bishko | Internal Medicine | 2679 Rocklyn Rd, Shaker Heights, OH 44122-2112 | 2009-01-29 |
| 1639332265 | Shailey Desai | Internal Medicine | 9500 Euclid Ave Desk A50, Cleveland, OH 44195 | 2008-07-03 |
| 1407049133 | May Azem | Internal Medicine | 7527 Fredle Dr, Concord Twp, OH 44077-9406 | 2007-08-27 |
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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.