ST. CHARLES MERCY HOSPITAL (NPI# 1659387991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659387991 |
| Entity Type | Organization |
| Organization Name | ST. CHARLES MERCY HOSPITAL |
| Practice Address |
2600 Navarre Ave Oregon OH 43616-3207 |
| Practice Telephone | 4196967411 |
| Mailing Telephone | 4196967411 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVEN L MICKUS (PRESIDENT & CEO) |
| Authorized Official Telephone | 4192518944 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
========= | OH | Ambulatory Health Care Facilities |
| Street Address |
2600 NAVARRE AVE |
| City | OREGON |
| State | OH |
| Zip Code | 43616-3207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678625 | Norman G Zavela | Anesthesiology | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2005-06-08 |
| 1659972677 | Begum Gocmen | Psychiatry & Neurology | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2020-11-05 |
| 1376153007 | Elizabeth Juliette Wirth | Registered Nurse | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2020-08-07 |
| 1437700085 | Patricia Ann Whitcomb | Nurse Practitioner | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2019-09-25 |
| 1235782988 | Matthew Joseph Pawlaczyk | Nurse Anesthetist, Certified Registered | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2019-07-22 |
| 1033698774 | Tamara Lynn Carruthers | Licensed Practical Nurse | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2018-08-13 |
| 1275040784 | Aaron Alexander Koerten | Physician Assistant | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2018-01-05 |
| 1164932109 | Kelsey Hill | Pharmacist | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2017-10-04 |
| 1154847317 | Andrea Kistner | Nurse Practitioner | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2017-08-19 |
| 1336677137 | Jerome Pasquale | Pharmacist | 2600 Navarre Ave, Oregon, OH 43616-3207 | 2017-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699273086 | Tamara Dawson-kynard | Case Manager/Care Coordinator | 40 S Wheeling St, Oregon, OH 43616 | 2018-01-31 |
| 1053703728 | Robert Cousino | Technician | 3018 Springwood St. S, Oregon, OH 43616 | 2015-03-04 |
| 1023359502 | Enrich Medical Transoportation | Non-emergency Medical Transport (VAN) | 1041 Ansonia St, Oregon, OH 43616 | 2013-03-08 |
| 1265779284 | Kathleen C Pollauf | Massage Therapist | 2665 Navarre Ave, Suite A, Oregon, OH 43616 | 2013-01-10 |
| 1225318389 | Tanuja Shekhawat | Dentist | 3246 Navarre Ave., Oregon, OH 43616 | 2011-08-22 |
| 1932408622 | Lisa Marie Coughlin | Surgery | 2751 Bay Park Dr Ste 300-303, Oregon, OH 43616 | 2011-03-21 |
| 1356598940 | Ranvir Singh Rathore | Internal Medicine | 3841 Navarre Avenue, Oregon, OH 43616 | 2008-08-26 |
| 1114182276 | Jennifer Pfleghaar | Emergency Medicine | 2600 Navarre Avenue, Oregon, OH 43616 | 2008-07-28 |
| 1437318938 | Kelly C Mcgee | Nurse Practitioner | 3301 Navarne Avenue, Oregon, OH 43616 | 2008-06-09 |
| 1083712509 | Colony Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2701 Navarre, Oregon, OH 43616 | 2006-09-20 |
| Find all providers in zip 43616 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 1356675003 | Lake Hospital System, Inc | Clinic/Center | 7590 Auburn Rd, Concord Twp, OH 44077-9176 | 2009-09-29 |
| 1295938272 | Menorah Park Center for Senior Living | Clinic/Center | 27100 Cedar Rd, Beachwood, OH 44122-1109 | 2007-06-07 |
| 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.