THEODOR MICHAEL EIBEN (NPI# 1700442589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700442589 |
| Entity Type | Individual |
| Full Name | THEODOR MICHAEL EIBEN |
| Practice Address |
1662 Mars Ave # 103 Lakewood OH 44107-3825 |
| Mailing Address |
1662 Mars Ave Lakewood OH 44107-3825 |
| Practice Telephone | 2162823838 |
| Mailing Telephone | 2162823838 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2020-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C.2002702 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1662 MARS AVE # 103 |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3825 |
| 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 Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345831 | Emily Newberger | Counselor | 777 S Wadsworth Blvd # 2-103a, Lakewood, CO 80226-4300 | 2020-10-26 |
| 1184230153 | Eunice Njambi Waithaka | Counselor | 6421 Montclair Ave Sw, Lakewood, WA 98499-1586 | 2020-09-16 |
| 1891319018 | Morgan Agagah | Counselor | 10911 W 16th Dr Apt 5-100, Lakewood, CO 80215-2711 | 2020-06-03 |
| 1629691696 | Aleks Riley Taylor | Counselor | 8233 W Floyd Ave Apt 7-108, Lakewood, CO 80227-4743 | 2020-05-25 |
| 1184244378 | Melissa Ann Crutchfield | Counselor | 13701 W Jewell Ave Ste 200, Lakewood, CO 80228-6033 | 2020-04-17 |
| 1518591577 | Elena Kronmiller | Counselor | 7114 W Jefferson Ave Ste 396, Lakewood, CO 80235-2354 | 2020-02-28 |
| 1265075147 | Sadiqah Nasira Jami | Counselor | 1444 Coutant Ave Apt 304, Lakewood, OH 44107-5177 | 2019-10-23 |
| 1336799485 | Karyn Cecilia Resch Brackney | Counselor | 3333 S Wadsworth Blvd Unit 201, Lakewood, CO 80227-5141 | 2019-09-19 |
| 1487207148 | Ambrosia Jones | Counselor | 20734 Hawaiian Ave, Lakewood, CA 90715-1627 | 2019-07-22 |
| 1720546237 | Teresa Marie Smith | Counselor | 9107 Lawndale Ave Sw, Lakewood, WA 98498-2425 | 2019-03-05 |
| Find all providers in LAKEWOOD | ||||
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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.