DR. JASON MICHAEL STREEM (NPI# 1689663965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689663965 |
Entity Type | Individual |
Full Name | DR. JASON MICHAEL STREEM |
Credential | D.D.S., M.S.D. |
Practice Address |
29001 Cedar Rd Suite 450 Lyndhurst OH 44124-4062 |
Practice Telephone | 4404613400 |
Mailing Telephone | 4404613400 |
Mailing Fax Number | 4404611722 |
Enumeration Date | 2005-10-19 |
Last Update Date | 2014-03-12 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
30.022255 | OH | Dental Providers |
Street Address |
29001 CEDAR RD SUITE 450 |
City | LYNDHURST |
State | OH |
Zip Code | 44124-4062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639174386 | Janet S Wieselthier | Dermatology | 29001 Cedar Rd, Suite 203, Lyndhurst, OH 44124-4062 | 2005-06-18 |
1568847648 | W R Healthcare Management LLC | Specialist | 29001 Cedar Rd, Suite 300, Lyndhurst, OH 44124-4062 | 2015-07-30 |
1215345020 | Dr. James Bangayan Foot & Ankle Specialty Inc. | Durable Medical Equipment & Medical Supplies | 29001 Cedar Rd, Suite 309, Lyndhurst, OH 44124-4062 | 2014-07-24 |
1952740474 | Thomas Gerard Burke Jr. | Dentist | 29001 Cedar Rd, Suite 453, Lyndhurst, OH 44124-4062 | 2013-06-18 |
1689017444 | Neil J Kogan | Dentist | 29001 Cedar Rd, Suite 404, Lyndhurst, OH 44124-4062 | 2013-04-11 |
1285923615 | Nannan Thirumavalavan | Urology | 29001 Cedar Rd, Lyndhurst, OH 44124 | 2011-04-06 |
1568751485 | Lawrence Scott Frankel | Dentist | 29001 Cedar Rd, Suite 400, Lyndhurst, OH 44124-4062 | 2011-03-31 |
1477855153 | University Hospitals Medical Group, Inc. | Plastic Surgery | 29001 Cedar Rd, Suite 202, Lyndhurst, OH 44124-4062 | 2010-12-01 |
1710291760 | Matthew David Kogan | Dentist | 29001 Cedar Rd, Suite 404, Lyndhurst, OH 44124-4062 | 2010-08-02 |
1164734869 | Jay C Resnick | Dentist | 29001 Cedar Rd, Suite 660, Lyndhurst, OH 44124-4062 | 2010-07-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
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Taxonomy Code | 1223P0300X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Periodontics |
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790072056 | Deena Sher | Dentist | 29001 Cedar Rd Ste 400, Lyndhurst, OH 44124-4041 | 2011-07-06 |
1538361688 | Jose Isaac Arauz-dutari | Dentist | 5001 Mayfield Rd Ste 305, Lyndhurst, OH 44124-2610 | 2007-06-01 |
1568751485 | Lawrence Scott Frankel | Dentist | 29001 Cedar Rd, Suite 400, Lyndhurst, OH 44124-4062 | 2011-03-31 |
1013198878 | Miguel Lewis Defina | Dentist | 29001 Cedar Rd, Suite 450, Lyndhurst, OH 44124-4062 | 2007-11-21 |
1811178999 | Roger Anthony Hess | Dentist | 29001 Cedar Rd, Suite 450, Lyndhurst, OH 44124-4062 | 2007-11-17 |
1104007277 | Rebecca Bietta Davis | Dentist | 29001 Cedar Rd, Suite 450, Lyndhurst, OH 44124-4062 | 2007-11-17 |
1356488902 | Stephen Matthew Catania | Dentist | 44 Ridge Rd, Lyndhurst, NJ 07071-1215 | 2007-01-31 |
1356498844 | Periodontal Associates, Inc. | Dentist | 29001 Cedar Rd, Suite 450, Lyndhurst, OH 44124-4062 | 2007-01-05 |
1922061514 | Lawrence Scott Frankel Dmd Ms Inc. | Dentist | 29001 Cedar Rd, #400, Lyndhurst, OH 44124-4062 | 2006-04-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194334136 | Nerea Robles-leyzaola | Dentist | 154 E Oakland Ave, Columbus, OH 43201-1209 | 2020-07-27 |
1801419866 | Morgan & Lemke Dds Ms Inc | Dentist | 6505 Rockside Rd Ste 310, Independence, OH 44131-2386 | 2020-05-26 |
1639724438 | Vinayak Joshi | Dentist | 4103 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210-1267 | 2019-08-08 |
1306408687 | Newark Periodontics LLC | Dentist | 843 N 21st St Ste 102a, Newark, OH 43055-7274 | 2019-07-08 |
1386201101 | Fred O Sakamoto Dds, Inc | Dentist | 7334 E Broad St Ste B, Blacklick, OH 43004-9239 | 2019-05-28 |
1972098432 | Ying Wang | Dentist | 305 W 12th Ave Fl 2, Columbus, OH 43210-1267 | 2018-06-27 |
1982128773 | Periodontics of Toledo | Dentist | 223 W. Crawford, Findlay, OH 45840 | 2017-08-02 |
1831545854 | Griselle Ortiz-ramsey Dmd and Associates | Dentist | 1569 Mckaig Ave, Troy, OH 45373-4904 | 2016-05-09 |
1225406622 | Alexandra Seal | Dentist | 4646 Nantuckett Dr Ste A, Toledo, OH 43623-3194 | 2015-09-02 |
1437551603 | Peter Nader Nessim Amin | Dentist | 7081 Pearl Rd, Middleburg Heights, OH 44130-4940 | 2014-09-19 |
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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.