DR. MARK E DAVANZO (NPI# 1689618118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689618118 |
| Entity Type | Individual |
| Full Name | DR. MARK E DAVANZO |
| Credential | MD |
| Practice Address |
477 Cooper Rd Suite 440 Westerville OH 43081-8053 |
| Practice Telephone | 3808985561 |
| Practice Fax Number | 3808985563 |
| Mailing Telephone | 3808985561 |
| Mailing Fax Number | 3808985563 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2019-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 35051847 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2986050 | 05 | |
| OH | RR MEDICARE | P00880716 | 01 |
| Street Address |
477 COOPER RD SUITE 440 |
| City | WESTERVILLE |
| State | OH |
| Zip Code | 43081-8053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811982838 | Bruce W Graham | Internal Medicine | 477 Cooper Rd, Ste 400, Westerville, OH 43081-8053 | 2005-09-15 |
| 1629697867 | James Matthews | Student in an Organized Health Care Education/Training Program | 477 Cooper Rd, Westerville, OH 43081-8053 | 2020-04-08 |
| 1811492721 | Teena Dcruz | Student in an Organized Health Care Education/Training Program | 477 Cooper Rd, Westerville, OH 43081-8053 | 2018-03-24 |
| 1689108060 | Maria Basedow | Family Medicine | 477 Cooper Rd, Suite 300, Westerville, OH 43081-8053 | 2017-04-12 |
| 1871034355 | Westerville Surgical Specialists | Surgery | 477 Cooper Rd, Ste 440, Westerville, OH 43081-8053 | 2017-03-16 |
| 1023566064 | Alison Russolillo | Nurse Practitioner | 477 Cooper Rd, Westerville, OH 43081-8053 | 2016-09-20 |
| 1093179996 | Julian Anderson | General Practice | 477 Cooper Rd, Westerville, OH 43081-8053 | 2016-04-07 |
| 1417327206 | Maranda Durant | Nurse Practitioner | 477 Cooper Rd, Suite 300, Westerville, OH 43081-8053 | 2015-10-06 |
| 1275941163 | Stephanie Ong Meller | Student in an Organized Health Care Education/Training Program | 477 Cooper Rd, Suite 300, Westerville, OH 43081-8053 | 2014-07-24 |
| 1427468289 | Mount Carmel Health System | Family Medicine | 477 Cooper Rd, Suite 300, Westerville, OH 43081-8053 | 2014-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917643 | Cheryl Lynne Weitthoff | Home Health Aide | Cheryl Weitthoff, 33 Nadine Place South, Westerville, OH 43081 | 2020-09-18 |
| 1588274088 | Omer Mohamed | Respiratory Therapist, Certified | 5825 Leila Lane Unit 107, Westerville, OH 43081 | 2020-08-09 |
| 1932739174 | Norline E Ford | Counselor | 100 Dorchester Sq. Suite 102, Westerville, OH 43081 | 2020-01-15 |
| 1902444524 | Sabrina Shannon | Behavior Technician | 189 W. Schrock Road, Westerville, OH 43081 | 2019-12-13 |
| 1336786581 | New Horizon Home Health Care, LLC | Home Health | 635 Park Meadow Rd Ste 115, Unit B, Westerville, OH 43081 | 2019-12-06 |
| 1295389740 | Esther A Ogundare | Licensed Practical Nurse | 394 Naples Pl., Westerville, OH 43081 | 2019-08-01 |
| 1922580364 | Judith Luann Haynes | Nurse Practitioner | 620 S. Cleveland Ave, Westerville, OH 43081 | 2018-09-01 |
| 1851879878 | Erin Doone | Physical Therapist | 631 Copeland Mill Rd Ste B, Westerville, OH 43081 | 2018-08-01 |
| 1205312360 | Melissa Anderson | Counselor | 145 W Schrock Road, Westerville, OH 43081 | 2018-07-12 |
| 1407344963 | Hannah Tiberi | Nurse Practitioner | 410 Mary Ave, Westerville, OH 43081 | 2018-04-30 |
| Find all providers in zip 43081 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417290834 | Brandon J Murphy | Surgery | 477 Cooper Rd Ste 440, Westerville, OH 43081 | 2013-04-03 |
| 1164597910 | David R Lawrence | Surgery | 7494 Frasier Rd, Westerville, OH 43082-8521 | 2006-11-21 |
| 1881699759 | Kim Scott Hamelberg | Surgery | 495 Cooper Rd, Ste 430, Westerville, OH 43081-8723 | 2005-06-16 |
| 1871034355 | Westerville Surgical Specialists | Surgery | 477 Cooper Rd, Ste 440, Westerville, OH 43081-8053 | 2017-03-16 |
| 1578974028 | Brian Davanzo | Surgery | 477 Cooper Rd Ste 440, Westerville, OH 43081-8055 | 2014-05-17 |
| 1265508386 | Breast Care Specialists, Inc. | Surgery | 477 Cooper Rd, Suite 310, Westerville, OH 43081-8053 | 2006-11-28 |
| 1770527202 | Timothy Kelly | Surgery | 477 Cooper Rd, Suite 440, Westerville, OH 43081-8053 | 2006-06-15 |
| 1811937659 | Bryan Grischow | Surgery | 477 Cooper Rd, Ste 440, Westerville, OH 43081-8053 | 2006-06-08 |
| 1679538177 | Richard Shane Brown | Surgery | 477 Cooper Rd, Suite 440, Westerville, OH 43081-8053 | 2006-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673839 | Omar Sallout | Surgery | 4430 N Holland Sylvania Rd Apt 4213, Toledo, OH 43623-3554 | 2020-06-11 |
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1851912935 | Comprehensive Wound Care Consultants LLC | Surgery | 5131 Beacon Hill Rd Ste 100, Columbus, OH 43228-4442 | 2020-04-30 |
| 1629603725 | Anil Vaidya | Surgery | 100 East Euclid Avenue, Cleveland, OH 44195-0001 | 2020-03-09 |
| 1205473766 | Serita Barnard | Surgery | Cleveland 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2019-12-04 |
| 1184271520 | Moska Hamidi | Surgery | 9500 Euclid Ave F20, Cleveland, OH 44195 | 2019-08-21 |
| 1760040265 | Ohio Bariatrics and Laparoscopy LLC | Surgery | 7931 Country Brook Ct, Springboro, OH 45066-8469 | 2019-05-31 |
| 1275093122 | Michael Curran | Surgery | 3140 Legacy Trce, Cincinnati, OH 45237-1724 | 2019-03-25 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1215401518 | Tina Lorenz | Surgery | 7310 Galena Ave Nw, Canal Fulton, OH 44614-8233 | 2019-01-20 |
| Find all providers with the same taxonomy | ||||
| City | WESTERVILLE |
| Zip Code | 43081 |
Please comment or provide details below to improve the information on DR. MARK E DAVANZO.
| 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.