DAMIAN IVAN LEBAMOFF


Address: One Elizabeth Place, Suite 10 A, Dayton, OH 45408
Phone: 9372284126

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
OH 0241974 05

Office Location

Street Address ONE ELIZABETH PLACE
SUITE 10 A
City DAYTON
State OH
Zip Code 45408

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City DAYTON
Zip Code 45408

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Dataset Information

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.

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