DAMIAN IVAN LEBAMOFF (NPI# 1831163518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831163518 |
Entity Type | Individual |
Full Name | DAMIAN IVAN LEBAMOFF |
Credential | MD |
Practice Address |
One Elizabeth Place Suite 10 A Dayton OH 45408 |
Practice Telephone | 9372284126 |
Practice Fax Number | 9372280247 |
Mailing Telephone | 9372284126 |
Mailing Fax Number | 9372280247 |
Enumeration Date | 2006-02-17 |
Last Update Date | 2015-11-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | 35070091 | OH | Allopathic & Osteopathic Physicians |
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
35070091 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0241974 | 05 |
Street Address |
ONE ELIZABETH PLACE SUITE 10 A |
City | DAYTON |
State | OH |
Zip Code | 45408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023082401 | Philip Copelain Williams Jr. | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45408 | 2006-02-14 |
1396974358 | The Karrington Company LLC | Durable Medical Equipment & Medical Supplies | One Elizabeth Place, Dayton, OH 45408 | 2009-07-10 |
1407032865 | Louisa Lucia Pecchioni | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45417 | 2008-01-16 |
1295924785 | Neurology Specialists Inc | Psychiatry & Neurology | One Elizabeth Place, Suite 210 West Medical Plaza, Dayton, OH 45408-1445 | 2007-10-19 |
1396966925 | Martha Monica Corradine | Clinic/Center | One Elizabeth Place, Dayton, OH 45408 | 2007-05-01 |
1497817092 | Montgomery County Court House | Substance Abuse Rehabilitation Facility | One Elizabeth Place, Dayton, OH 45408 | 2006-12-14 |
1508969445 | Lawrence P Goldstick | Psychiatry & Neurology | One Elizabeth Place, Suite 210 West Medical Plaza, Dayton, OH 45408 | 2006-09-06 |
1629187778 | Phoenix Pathology LLC | Pathology | One Elizabeth Place, Dayton, OH 45408-0000 | 2006-08-30 |
1932147956 | Holly Voorhees | Anesthesiology | One Elizabeth Place, Medical Center At Elizabeth Place, Dayton, OH 45417 | 2006-06-03 |
1962477661 | Jonathan Earl Velasco | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45408 | 2006-02-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
1730363813 | Susan C Mumford | Social Worker | 627 S. Edwin C. Moses Blvd, Suite 100, Dayton, OH 45408 | 2007-12-24 |
1649237553 | Jerry Eugene Flexman | Clinical Neuropsychologist | 1 Elizabeth Place, West Pavilion 1st Floor Suite C, Dayton, OH 45408 | 2006-04-26 |
1598722571 | William Klykylo | Psychiatry & Neurology | 627 Edwin C Moses Blvd, East Medical Plaza, Dayton, OH 45408 | 2006-04-26 |
1265491930 | Healing Touch Home Healthcare | Registered Nurse | 601 S.edwin C. Moses, East Plaza, Suite 3-i, Dayton, OH 45408 | 2006-03-21 |
1912987256 | Heart Hospital of Dto, LLC | General Acute Care Hospital | 707 S. Edwin C. Moses Blvd, Dayton, OH 45408 | 2006-01-20 |
1821076365 | Pesso Investments, Ltd | Emergency Medicine | 707 S. Edwin C. Moses Blvd., Dayton, OH 45408 | 2006-01-05 |
1184605727 | Benjamin David Shaffer | Pharmacist | 707 South Edwin C. Moses Blvd., Dayton, OH 45408 | 2005-11-10 |
1538339452 | Vrajlal N Chauhan | Counselor | 1 Elizabeth Place, Ste D, Dayton, OH 45408 | 2008-03-06 |
1659566164 | Marguerite Therese Wallace | Counselor | 1 Elizabeth Place, West Pavillion First Floor Suite C, Dayton, OH 45408 | 2007-09-07 |
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Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 |
---|---|---|---|---|
1770591562 | John Henry Matsuura | Surgery | 2300 Miami Valley Dr Ste 350, Dayton, OH 45459-1294 | 2006-08-04 |
1174595748 | William Kennard Rundell | Surgery | 1520 S. Main Street, Suite 210, Dayton, OH 45409-2675 | 2006-02-07 |
1558361329 | Stephen Greer Do Inc | Surgery | 131 N Ludlow St, Suite 1125, Dayton, OH 45402-1116 | 2005-07-22 |
1104108406 | Alliance Physician Inc | Surgery | 1 Elizabeth Pl, Suite 10a-1, Dayton, OH 45417-3445 | 2011-09-13 |
1215178421 | Wright State Physicians Inc | Surgery | 2200 Philadelphia Dr, Suite 400, Dayton, OH 45406-1840 | 2009-03-18 |
1730358169 | J Scott Wilcher M.d. Inc | Surgery | 7111 N Main St, Ste 60, Dayton, OH 45415-2558 | 2008-02-29 |
1407032865 | Louisa Lucia Pecchioni | Surgery | One Elizabeth Place, Suite 10a, Dayton, OH 45417 | 2008-01-16 |
1558544270 | Julie Gilkeson | Surgery | 1 Elizabeth Pl, Suite 10a, Dayton, OH 45417 | 2007-12-17 |
1023135340 | Edward L. Erb, D.o. | Surgery | 5450 Far Hills Ave, Suite201, Dayton, OH 45429-2386 | 2007-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
1194373704 | Premier Vein and Vascular Care LLC | Surgery | 33290 Bainbridge Rd, Solon, OH 44139-2802 | 2019-08-27 |
1588144299 | Garcia Vascular Surgery Center, LLC | Surgery | 29099 Health Campus Dr Ste 380, Westlake, OH 44145-5276 | 2018-08-21 |
1962900365 | Marilyn Mcnamara | Surgery | 1031 Brook Ln, Rocky River, OH 44116-2184 | 2018-01-31 |
1386155521 | Zanesville Vascular Vein & Wound Center LLC | Surgery | 3964 Frazeysburg Rd Unit A, Zanesville, OH 43701-8920 | 2017-10-16 |
1679026751 | Center for Vein Restoration Oh, LLC | Surgery | 1050 Isaac Streets Dr Ste 131, Oregon, OH 43616-8203 | 2016-07-26 |
1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
1881035343 | Innovative Wound Care Associates, Inc | Surgery | 790 Boardman Canfield Rd Ste 3, Boardman, OH 44512-4344 | 2013-07-12 |
1184062242 | Jorge Enrique Motta | Surgery | 12268 Church Rd, Orrville, OH 44667-9623 | 2013-06-11 |
1912245853 | Cleveland East Vascular Care, LLC | Surgery | 23650 Commerce Park Ste B, Beachwood, OH 44122-5817 | 2013-01-28 |
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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.