PREVENTIVE MEDICINE GROUP INC (NPI# 1841752151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841752151 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE MEDICINE GROUP INC |
| Practice Address |
5555 Mayfield Rd Lyndhurst OH 44124-2939 |
| Practice Telephone | 4409950555 |
| Practice Fax Number | 4409951444 |
| Mailing Telephone | 4409950555 |
| Mailing Fax Number | 4409951444 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | RONALD CASSELBERRY (TAX ID OWNER) |
| Authorized Official Telephone | 4409950555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
5555 MAYFIELD RD |
| City | LYNDHURST |
| State | OH |
| Zip Code | 44124-2939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619953510 | Pain Relief Center Inc | Pain Medicine | 5555 Mayfield Rd, Lyndhurst, OH 44124-2939 | 2005-12-21 |
| 1962702902 | Vitalhealth Partners Inc | Preventive Medicine | 5555 Mayfield Rd, Lyndhurst, OH 44124-2939 | 2010-10-25 |
| 1669627816 | Todd J Pesek | General Practice | 5555 Mayfield Rd, Lyndhurst, OH 44124-2939 | 2008-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| 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 Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326069725 | Lee Bryan Grotte | Preventive Medicine | 5399 Mayfield Rd, Lyndhurst, OH 44124-2457 | 2006-07-21 |
| 1033688908 | Antony M George Md Mph LLC | Preventive Medicine | 5109 Mayfield Rd, Lyndhurst, OH 44124-2405 | 2018-11-20 |
| 1598027492 | Sandra Darling | Preventive Medicine | 1950 Richmond Rd, Tr2, Lyndhurst, OH 44124-3719 | 2012-06-15 |
| 1962702902 | Vitalhealth Partners Inc | Preventive Medicine | 5555 Mayfield Rd, Lyndhurst, OH 44124-2939 | 2010-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387791 | Salem City Health District | Preventive Medicine | 230 N Lincoln Ave Ste 104, Salem, OH 44460-2950 | 2019-10-17 |
| 1548739410 | Antony M George Md Mph LLC | Preventive Medicine | 31037 Center Ridge Rd, Westlake, OH 44145-5029 | 2018-11-20 |
| 1972012920 | Kathleen Marie Corcoran | Preventive Medicine | 14501 Triskett Rd, Cleveland, OH 44111-2269 | 2017-09-21 |
| 1801312673 | Gerald Anthony Cephas | Preventive Medicine | 1 Elizabeth Pl Ste G-3, Dayton, OH 45417-3445 | 2017-08-14 |
| 1730576893 | Lcp Enterprises LLC | Preventive Medicine | 5133 Darrow Rd, Hudson, OH 44236-4003 | 2015-04-16 |
| 1679986947 | Thomas Halpin | Preventive Medicine | 1072 Twilight Dr, Reynoldsburg, OH 43068-1745 | 2014-06-04 |
| 1205262086 | Randall E. Harris | Preventive Medicine | 1841 Neil Ave, 306 Cunz Hall, Columbus, OH 43210-1351 | 2013-09-24 |
| 1184985590 | Kerry David Hayden | Preventive Medicine | 5610 Springboro Rd, Lebanon, OH 45036-9610 | 2012-06-01 |
| 1477729036 | Robert Sanford Galen | Preventive Medicine | 7855 Division Dr, Mentor, OH 44060-4877 | 2008-05-05 |
| 1477602811 | Fayette County | Preventive Medicine | 317 S Fayette St, Washington Ch, OH 43160-2449 | 2007-01-08 |
| Find all providers with the same taxonomy | ||||
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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.