DR. ROGER VAN LEBO (NPI# 1659571958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659571958 |
| Entity Type | Individual |
| Full Name | DR. ROGER VAN LEBO |
| Credential | PH.D., FACMG |
| Practice Address |
1 Perkins Sq Department of Pathology Akron OH 44308-1063 |
| Practice Telephone | 3305438680 |
| Practice Fax Number | 3305433226 |
| Mailing Telephone | 3305438680 |
| Mailing Fax Number | 3305433226 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| Street Address |
1 PERKINS SQ DEPARTMENT OF PATHOLOGY |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043216468 | Kerry Leone-quisenberry | Nurse Anesthetist, Certified Registered | 1 Perkins Sq, Akron, OH 44308-1063 | 2005-06-21 |
| 1639778681 | Megan Susanne Foster | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-10-21 |
| 1639781800 | Danielle Marie Standohar | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-19 |
| 1548872039 | Brooke N Phillips | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-08-18 |
| 1609494517 | Angela Marie Corsi | Nurse Practitioner | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-07-07 |
| 1124647516 | Marisa M Mancuso | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-15 |
| 1235768870 | Elizabeth Suzanne Mcinturf | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-06 |
| 1447889142 | Kaitlin Minotti | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1062 | 2020-04-04 |
| 1790314813 | Spencer Jeffrey Gasser | Student in an Organized Health Care Education/Training Program | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-02 |
| 1992334080 | Rachel Worth | Registered Nurse | 1 Perkins Sq, Akron, OH 44308-1063 | 2020-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
| Find all providers in zip 44308 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346651668 | Haiying Meng | Medical Genetics, Ph.D. Medical Genetics | 702 Valley St, One Children's Plaza, Dayton, OH 45404-1981 | 2014-05-09 |
| 1033370473 | Qais Abu Ali | Medical Genetics, Ph.D. Medical Genetics | 4506 Stephens Cir Nw, Canton, OH 44718-3628 | 2008-06-18 |
| 1285615633 | Meera Agarwal | Medical Genetics, Ph.D. Medical Genetics | 485 W Market St, Tiffin, OH 44883-2611 | 2005-11-10 |
| 1346221033 | Prashant S Kothari | Medical Genetics, Ph.D. Medical Genetics | 485 W Market Street, Tiffin, OH 44883 | 2005-11-09 |
| 1720265291 | Cynthia Barber | Medical Genetics, Ph.D. Medical Genetics | 4511 Rockside Rd, Independence, OH 44131-2199 | 2008-01-28 |
| 1942423298 | Edm Health Services LLC | Medical Genetics, Ph.D. Medical Genetics | 30 S Byrne Rd, Toledo, OH 43615-6211 | 2007-04-11 |
| 1598852204 | Amanda Ewart Toland | Medical Genetics, Ph.D. Medical Genetics | 2050 Kenny Rd, 8th Floor Mmmp, Columbus, OH 43221-3502 | 2006-10-06 |
| 1831159110 | Daryl D Kaswinkel | Medical Genetics, Ph.D. Medical Genetics | 50 Mcnaughten Rd, Ste 200, Columbus, OH 43213-2120 | 2006-03-23 |
| 1144201849 | Punita P Kothari | Medical Genetics, Ph.D. Medical Genetics | 110 E Howard St, Willard, OH 44890-1611 | 2005-11-09 |
| 1043206691 | Christine Curtis | Medical Genetics, Ph.D. Medical Genetics | 10524 Euclid Ave, 6th Floor, Cleveland, OH 44106-2205 | 2005-09-20 |
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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.