DR. JOHN HERBERT GERSTENMAIER JR. (NPI# 1669454302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669454302 |
Entity Type | Individual |
Full Name | DR. JOHN HERBERT GERSTENMAIER JR. |
Credential | DDS |
Practice Address |
3094 W Market St #260 Fairlawn OH 44333-3626 |
Mailing Address |
431 Saint Andrews Dr Akron OH 44303-1225 |
Practice Telephone | 3308675688 |
Practice Fax Number | 3308679921 |
Mailing Telephone | 3308672474 |
Enumeration Date | 2005-11-17 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
2901010057 | MI | Dental Providers |
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30014537 | OH | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0273814 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073834933 | John Herbert Gerstenmaier IIi | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2010-06-15 |
Street Address |
3094 W MARKET ST #260 |
City | FAIRLAWN |
State | OH |
Zip Code | 44333-3626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093329724 | Kristyn Lein | Counselor | 3094 W Market St, Fairlawn, OH 44333-3626 | 2020-09-01 |
1164056552 | Christina D Smith | Community Health Worker | 3094 W Market St, Fairlawn, OH 44333-3626 | 2020-02-25 |
1760884241 | Pamela Irene Hirt | Marriage & Family Therapist | 3094 W Market St, Fairlawn, OH 44333-3626 | 2014-09-16 |
1831511906 | Jacklyn Hofmann | Counselor | 3094 W Market St, Suite 105, Fairlawn, OH 44333-3626 | 2014-01-09 |
1578998688 | Corey M. Fling | Counselor | 3094 W Market St, Suite 105, Fairlawn, OH 44333-3626 | 2013-09-08 |
1831523760 | Elizabeth S. Helmuth | Counselor | 3094 W Market St, Fairlawn, OH 44333-3626 | 2013-08-28 |
1710328109 | Angela M Brown | Counselor | 3094 W Market St, Suite 105, Fairlawn, OH 44333-3626 | 2013-07-12 |
1043463219 | Summa Physicians Inc | Family Medicine | 3094 W Market St, Ste. 136, Fairlawn, OH 44333-3626 | 2008-10-31 |
1083895460 | Roth Family Medicine,ltd. | Clinic/Center | 3094 W Market St, Suite 136, Fairlawn, OH 44333-3626 | 2007-11-14 |
1831378124 | William E Polley Jr Inc | Clinic/Center | 3094 W Market St, Fairlawn, OH 44333-3626 | 2007-11-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
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Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568636660 | John Herbert Gerstenmaier | Dentist | 3094 West Market St, #260, Fairlawn, OH 44333-3626 | 2008-04-18 |
1598841082 | Rajesh Vij | Dentist | 3523 Commercial Dr, Fairlawn, OH 44333-5107 | 2006-10-27 |
1780032045 | Ying An | Dentist | 3523 Commercial Dr, Fairlawn, OH 44333-5107 | 2016-05-27 |
1871886168 | Sandhya Menon | Dentist | 3523 Commercial Dr, Fairlawn, OH 44333 | 2011-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255931911 | Rachel I Rosen, Dds LLC | Dentist | 9964 Vail Dr Ste 1, Twinsburg, OH 44087-2972 | 2020-10-30 |
1861014334 | Page Pediatric Dentistry | Dentist | 5699 Innovation Dr, Dublin, OH 43016-3312 | 2020-05-07 |
1629602412 | Tuka N/a Sada | Dentist | 9601 Chester Ave Rm 284-h, Cleveland, OH 44106-1666 | 2020-03-02 |
1992336093 | Al Saad Dental LLC | Dentist | 7250 Center St Ste C, Mentor, OH 44060-4920 | 2020-01-28 |
1912547811 | Cincy Pediatric Dentistry, LLC | Dentist | 1131 Cryer Ave, Cincinnati, OH 45208 | 2020-01-09 |
1790338168 | Corbin Salthouse | Dentist | 13390 Cedar Rd, Cleveland Heights, OH 44118-2955 | 2019-07-24 |
1588223929 | Amber Sun | Dentist | 11100 Euclid Ave # Rb&c1200, Cleveland, OH 44106-1716 | 2019-06-10 |
1710546437 | Kyle R. Jackson, Dds, LLC | Dentist | 4090 Indian Ripple Rd Unit 102, Beavercreek, OH 45440-3253 | 2019-06-06 |
1932764107 | Cuadra Pediatric Dentistry, LLC | Dentist | Cuadra Pediatric Dentistry, LLC, 486 Wentz Street, Tiffin, OH 44883 | 2019-05-03 |
1265901136 | Ohio Dental Team LLC | Dentist | 7690 First Place, Bldg D, Suite E, Oakwood, OH 44146 | 2018-11-20 |
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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.