VALERIY SEDOV (NPI# 1770731556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770731556 |
Entity Type | Individual |
Full Name | VALERIY SEDOV |
Credential | M.D. |
Practice Address |
2 W Crescent Park Warren PA 16365 |
Mailing Address |
2 W Crescent Park Warren PA 16365-2111 |
Practice Telephone | (814) 723-4973 |
Practice Fax Number | 8147238952 |
Mailing Telephone | 8147234973 |
Mailing Fax Number | 8147238952 |
Enumeration Date | 2008-09-04 |
Last Update Date | 2018-08-29 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
37704 | SC | Allopathic & Osteopathic Physicians |
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD439854 | PA | Allopathic & Osteopathic Physicians |
N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
25MA08600600 | NJ | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
171 Ashley Ave, Charleston, SC 294258908 | 8437926200 |
Street Address |
2 W CRESCENT PARK |
City | WARREN |
State | PA |
Zip Code | 16365 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811990229 | Lee E Denlinger | Specialist | 2 W Crescent Park, Warren, PA 16365-2111 | 2005-05-31 |
1700423209 | Jennifer Thrift | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2019-12-03 |
1972079184 | Warren General Hospital | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-10-16 |
1558846584 | Nathan Zigler | Physician Assistant | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-09-25 |
1720570021 | Erin Wilcox | Dental Hygienist | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-06-01 |
1801388269 | Tracy Marie Leichtenberger | Dental Hygienist | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-06-01 |
1891228136 | Primary Health Network | Clinic/Center | 2 W Crescent Park, Warren, PA 16365-2111 | 2017-04-04 |
1053863191 | Melissa Eckman | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365 | 2016-10-25 |
1174984116 | Regan Nicole Olsen | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365-2111 | 2016-03-18 |
1114392735 | Kelly Sullivan | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365-2111 | 2015-12-08 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
Find all providers in zip 16365 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346887692 | Michigan Center for Hematology and Oncology | Internal Medicine | 28111 Hoover Rd Ste 5a, Warren, MI 48093-4153 | 2019-12-05 |
1275859704 | Elon Knoll | Internal Medicine | 11885 E 12 Mile Rd Ste 100a, Warren, MI 48093-3465 | 2010-04-08 |
1114134632 | Mohammad Mobayed | Internal Medicine | 25625 Schoenherr Rd Ste 300, Warren, MI 48089-1499 | 2007-05-16 |
1972568087 | Vijayalakshmi Donthireddy | Internal Medicine | Macomb Hematology Oncology, 11900 East 12mile Suite 210, Warren, MI 48093 | 2006-04-20 |
1073517835 | Lori C Hemrock | Internal Medicine | 1745 Niles Cortland Rd Ne Ste 5, Warren, OH 44484-6046 | 2005-06-09 |
1396364329 | Macomb Cancer and Blood Specialists, PC | Internal Medicine | 25625 Schoenherr Rd Ste 300, Warren, MI 48089-1499 | 2020-04-09 |
1376028506 | Verdi Oncology Michigan PC | Internal Medicine | 11900 E 12 Mile Rd Ste 308, Warren, MI 48093-3491 | 2018-10-03 |
1467693895 | Zeina Geryes El Amil | Internal Medicine | 667 Eastland Ave Se, Warren, OH 44484-4503 | 2009-03-16 |
1467487397 | Roger Hakimian | Internal Medicine | 1745 Niles Cortland Rd Ne Ste 5, Warren, OH 44484 | 2006-07-11 |
1609814631 | Macomb Hematology Oncology | Internal Medicine | 11900 E 12 Mile Rd, Suite 210, Warren, MI 48093-3400 | 2006-06-03 |
Find all providers in WARREN |
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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.