DR. KRISTINA MARIE KOVACH


Address: 15800 Detroit Ave, Lakewood, OH 44107-3748
Phone: 2162272194

DR. KRISTINA MARIE KOVACH (NPI# 1669465142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669465142
Entity Type Individual
Full Name DR. KRISTINA MARIE KOVACH
Credential DPM
Practice Address 15800 Detroit Ave
Lakewood
OH 44107-3748
Mailing Address Po Box 639004
Cincinnati
OH 45263-9004
Practice Telephone 2162272194
Practice Fax Number 2162272196
Mailing Telephone 4408955056
Mailing Fax Number 4403332935
Enumeration Date 2005-08-30
Last Update Date 2019-06-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist 36002928 OH Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 2035158 05
OH RRCARE P00351773 01

Office Location

Street Address 15800 DETROIT AVE
City LAKEWOOD
State OH
Zip Code 44107-3748

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417567405 Molly Marina Mulcahy Nurse Practitioner 15800 Detroit Ave, Lakewood, OH 44107-3748 2020-08-04
1144881384 Sherri Whitaker Nurse Practitioner 15800 Detroit Ave, Lakewood, OH 44107-3748 2019-06-27
1992286603 Erika Nicole Young Nurse Practitioner 15800 Detroit Ave, Lakewood, OH 44107-3748 2018-08-22
1477082857 Sara Ridley Counseling Practice, LLC Clinic/Center 15800 Detroit Ave, Lakewood, OH 44107-3748 2017-06-08
1720530181 Fast Response Nurse Practitioners, LLC Nurse Practitioner 15800 Detroit Ave, Lakewood, OH 44107-3748 2016-11-01
1669851812 Michelle Hisako Haldeman Podiatrist 15800 Detroit Ave, Lakewood, OH 44107-3748 2015-05-20
1982008561 Sarah Catherine Kusek Nurse Practitioner 15800 Detroit Ave, Lakewood, OH 44107-3748 2014-10-10
1184973521 Roseann Marie Messina Midwife, Lay 15800 Detroit Ave, Suite D, Lakewood, OH 44107-3748 2012-08-30
1912287624 Ko Nurse Practitioner, LLC Physician Assistant 15800 Detroit Ave, Lakewood, OH 44107-3748 2011-08-25
1760459978 George M Khuri Internal Medicine 15800 Detroit Ave, Ste 400, Lakewood, OH 44107-3748 2006-03-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522210 Lawrence M Roth Social Worker 14701 Detroit Ave Ste 363, Lakewood, OH 44107 2018-09-18
1376065730 Fareeha Khan Internal Medicine 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 2017-07-07
1912433756 Julie Ann Foucher-urcuyo Family Medicine 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 2017-05-11
1225563661 Elizabeth Ann Rainbolt Family Medicine 14601 Detroit Ave Fl 2, Lakewood, OH 44107 2017-04-24
1255882551 Kristen Murray Dietitian, Registered 14900 Detroit Ave Ste 207, Lakewood, OH 44107 2016-10-21
1265828131 David Thomas Jonke Dentist 15640 Madison Ave., Lakewood, OH 44107 2015-04-08
1760885941 Debra Watkins Home Health Aide 1510 Newman Ave Apt 406, Lakewood, OH 44107 2014-10-02
1396155198 Monica M Owen Occupational Therapist 9200 Biddulph Rd., Brooklyn, OH 44107 2014-05-01
1730512229 Marsha Elaine Favors Licensed Practical Nurse 1448 Lakeland Ave, Lakewood, OH 44107 2013-08-20
1508130006 Ruth Rachel Raciniewski Counselor 15200 Madison Avenue, Lakewood, OH 44107 2012-03-01
Find all providers in zip 44107

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225646979 New West Physicians, P.C. Podiatrist 1536 Cole Blvd # 4-250, Lakewood, CO 80401-3413 2020-07-20
1326571308 Randi Jean Keefe Podiatrist 1312 Donald Ave, Lakewood, OH 44107-2851 2017-04-06
1043662158 Kristina Eunjeong Chang Podiatrist 3700 E South Street, Lakewood, CA 90805 2016-07-13
1790931087 Paul H Eisenberg, Dpm Inc Podiatrist 14900 Detroit Ave, Lakewood, OH 44107-3923 2008-08-18
1225255086 Kurt Gustavson Podiatrist 6216 Whisper Ln Sw, Lakewood, WA 98499-1139 2007-04-20
1689719619 Rosa Montemayor Dpm PC Podiatrist 9255 W Alameda Ave Ste F, Lakewood, CO 80226-2802 2007-02-20
1235279993 Michael Joseph Beauclair Podiatrist 1415 Blossom Park Ave, Lakewood, OH 44107-4401 2007-02-08
1568576528 James F Eggold Podiatrist 5445 Del Amo Blvd Ste 102, Lakewood, CA 90712-2761 2006-08-18
1154385284 Paul Thomas Voegeli Jr. Podiatrist 165 South Union Boulevard, Suite 322, Lakewood, CO 80228-2211 2006-04-14
1619954302 Ronald J Lancz Podiatrist 105 River Avenue, Building B Suite #303, Lakewood, NJ 08701 2005-12-23
Find all providers in LAKEWOOD

Competitor

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City LAKEWOOD
Zip Code 44107

Improve Information

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Dataset Information

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.

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