COLLEEN B STASZAK (NPI# 1780651836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780651836 |
| Entity Type | Individual |
| Full Name | COLLEEN B STASZAK |
| Credential | D.O. |
| Practice Address |
19800 Detroit Rd Rocky River OH 44116-1884 |
| Mailing Address |
26908 Detroit Rd Suite 301 Westlake OH 44145-2398 |
| Practice Telephone | 4403331107 |
| Practice Fax Number | 4403331064 |
| Mailing Telephone | 4406171823 |
| Mailing Fax Number | 4406170884 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2016-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34-008120 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2463516 | 05 |
| Street Address |
19800 DETROIT RD |
| City | ROCKY RIVER |
| State | OH |
| Zip Code | 44116-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164981601 | Laura Tramer | Nurse Practitioner | 19800 Detroit Rd, Rocky River, OH 44116-1884 | 2019-03-14 |
| 1306382395 | Maria Housel | Speech-Language Pathologist | 19800 Detroit Rd, Rocky River, OH 44116-1884 | 2017-01-13 |
| 1083900252 | David A Gumucio | Family Medicine | 19800 Detroit Rd, Rocky River, OH 44116-1816 | 2011-06-25 |
| 1871828418 | Megan Purcell | Dietitian, Registered | 19800 Detroit Rd, Rocky River, OH 44116-1884 | 2009-10-15 |
| 1558504340 | Junghae Helen Kwon | General Practice | 19800 Detroit Rd, Rocky River, OH 44116-1816 | 2009-04-09 |
| 1346449014 | Rebecca A Fredrick | Family Medicine | 19800 Detroit Rd, Rocky River, OH 44116-1816 | 2007-07-13 |
| 1922022524 | Nancy Wasserbauer Kingston | Allergy & Immunology | 19800 Detroit Rd, Rocky River, OH 44116-1816 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902319148 | Cory Randall Lamar | Chiropractor | 21820 Center Ridge Rd, Rocky River, OH 44116 | 2017-11-09 |
| 1376065722 | Cle Physical Therapy LLC | Physical Therapy Assistant | 20340 Center Ridge Road, Rocky River, OH 44116 | 2017-07-07 |
| 1649709056 | Kevin Skrzyniecki | Physical Therapist | 2651 Hampton Rd, Rocky River, OH 44116 | 2017-06-08 |
| 1144610163 | Meagan Prost | Counselor | 20525 Detroit Rd Ste 8, Rocky River, OH 44116 | 2015-01-28 |
| 1760813984 | Mary Jo Mcnamara | Registered Nurse | 1724 Wooster Rd, Rocky River, OH 44116 | 2013-12-13 |
| 1093157232 | Rebecca M Kondrich | Social Worker | 20088 Center Ridge Rd Ste 101, Rocky River, OH 44116 | 2013-07-29 |
| 1326481169 | Sara A. Schrecengost | Counselor | 20800 Center Ridge Road, Suite 401, Rocky River, OH 44116 | 2013-04-11 |
| 1164764718 | Walter S Grossman | Dentist | 20575 Center Ridge Road, Suite 400, Rocky River, OH 44116 | 2013-03-21 |
| 1255654794 | Gregory L Chaplin | Physical Therapist | 2921 Lakeview Avenue, Rocky River, OH 44116 | 2010-03-11 |
| 1730325069 | Holly Elizabeth Kirk | Counselor | 20525 Center Ridge Rd Ste 403, Rocky River, OH 44116 | 2008-12-16 |
| Find all providers in zip 44116 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033552344 | Matthew Jorge Goldman | Family Medicine | 19324 Detroit Rd # Brr-193, Rocky River, OH 44116-1802 | 2013-04-17 |
| 1518188879 | Kurtis Charles Dornan | Family Medicine | 19800 Detroit Rd Ste 100, Rocky River, OH 44116-1885 | 2007-05-02 |
| 1811096746 | David M Brill | Family Medicine | 19324 Detroit Rd, Rocky River, OH 44116-1802 | 2006-09-21 |
| 1780781674 | Rosario Villamin Celerio | Family Medicine | 3600 Kings Post Pkwy, Rocky River, OH 44116-3817 | 2006-09-20 |
| 1881796068 | Justin J Smith | Family Medicine | 19895 Detroit Rd, Rocky River, OH 44116-1815 | 2006-09-01 |
| 1508836016 | David Matthew Wendt | Family Medicine | 19234 Detroit Rd, Rocky River, OH 44116-1706 | 2006-01-25 |
| 1942731088 | Kevin Christopher | Family Medicine | 19324 Detroit Rd, Rocky River, OH 44116-1802 | 2017-03-21 |
| 1467800045 | Chad Mccain | Family Medicine | 19324 Detroit Rd, Rocky River, OH 44116-5219 | 2016-05-24 |
| 1255746103 | Harkiran Saini | Family Medicine | 19324 Detroit Rd, Rocky River, OH 44116-1802 | 2014-06-29 |
| 1083900252 | David A Gumucio | Family Medicine | 19800 Detroit Rd, Rocky River, OH 44116-1816 | 2011-06-25 |
| Find all providers in ROCKY RIVER | ||||
| City | ROCKY RIVER |
| Zip Code | 44116 |
Please comment or provide details below to improve the information on COLLEEN B STASZAK.
| 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.