ALLIANCE RETINA (NPI# 1669811774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669811774 |
| Entity Type | Organization |
| Organization Name | ALLIANCE RETINA |
| Practice Address |
5757 Monclova Rd Ste 11 Maumee OH 43537-1863 |
| Practice Telephone | 4198736800 |
| Practice Fax Number | 4198736804 |
| Mailing Telephone | 4193564224 |
| Mailing Fax Number | 4198736804 |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | JOHN GREGORY ROSENTHAL (PRESIDENT) |
| Authorized Official Telephone | 4198736800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0749300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 28370 Kensington Lane, Suite A, Perrysburg, OH 43551 | 4198743125 | 4198748606 |
| Street Address |
5757 MONCLOVA RD STE 11 |
| City | MAUMEE |
| State | OH |
| Zip Code | 43537-1863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710959549 | John Gregory Rosenthal | Ophthalmology | 5757 Monclova Rd Ste 11, Maumee, OH 43537-1863 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884709 | Mary Walasinski | Behavior Technician | 1900 Indian Wood Circle Suite 100, Maumee, OH 43537 | 2019-08-01 |
| 1912483314 | Integrated Restorative Solutions LLC | Pain Medicine | 2718 River Rd, Maumee, OH 43537 | 2018-07-18 |
| 1326533373 | Michelle Lei Sandwisch | Nurse Practitioner | 7140 Maumee Western Road, Maumee, OH 43537 | 2018-06-22 |
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1841792306 | Stephen Flory | Specialist/Technologist | 2584 S Detroit Ave, Maumee, OH 43537 | 2018-03-01 |
| 1851841787 | Michelle Laver | Social Worker | 7320 Sh 108, Wauseon, OH 43537 | 2016-10-04 |
| 1083070288 | Friends Who Care | Home Health | 2749 Pine Trace Dr, Maumee, OH 43537 | 2016-01-05 |
| 1386025203 | Unique Health Care Solutions, LLC | Home Health | 3430 Briarfield Blvd, Maumee, OH 43537 | 2015-06-16 |
| 1104239698 | Jill Saul | Dietitian, Registered | 5871 Monclova Rd., Maumee, OH 43537 | 2014-06-03 |
| 1922438910 | Kristen Junga | Counselor | 1627 Henthorne Dr Ste E, Maumee, OH 43537 | 2013-11-12 |
| Find all providers in zip 43537 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043873763 | Kristen Nicole Thomas | Ophthalmology | 15299 Bagley Rd Ste 200, Cleveland, OH 44130-4809 | 2019-04-18 |
| 1801379797 | Tri-state Centers for Sight Inc | Ophthalmology | 5340 Rapid Run Rd Ste 2, Cincinnati, OH 45238-4260 | 2018-09-07 |
| 1427412550 | Rishi Singhal | Ophthalmology | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2016-04-05 |
| 1558781922 | Matthew Joon Young Byun | Ophthalmology | 262 Neil Ave Ste 220, Columbus, OH 43215-7310 | 2014-04-23 |
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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.