MRS. JEAN MARIE ELLSWORTH-WOLK (NPI# 1871865477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871865477 |
| Entity Type | Individual |
| Full Name | MRS. JEAN MARIE ELLSWORTH-WOLK |
| Credential | RN |
| Practice Address |
18200 Lorain Ave Lower Level Cleveland OH 44111-5605 |
| Mailing Address |
5891 Briarhill Dr Solon OH 44139-2366 |
| Practice Telephone | 2164760683 |
| Mailing Telephone | 4403490447 |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | NS-01789 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
18200 LORAIN AVE LOWER LEVEL |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111-5605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669113 | Donald Eicher | Internal Medicine | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2005-06-20 |
| 1477931319 | Vanessa Jean Stagliano | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2015-05-12 |
| 1336564509 | Regina Pestak | Student in an Organized Health Care Education/Training Program | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2014-02-25 |
| 1285059576 | Vincent Biagio Boytim | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2014-02-24 |
| 1205277795 | Bridget Lynn Griffin | Registered Nurse | 18200 Lorain Ave, Moll Pavilion, Cleveland, OH 44111-5605 | 2013-07-11 |
| 1831533082 | Deana Mamari | Anesthesiologist Assistant | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-04-18 |
| 1144563685 | Natalie Anne Thomas | Family Medicine | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-04-03 |
| 1255673828 | Ashley Marie Phipps | Student in an Organized Health Care Education/Training Program | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2013-03-21 |
| 1447500111 | Fairview Cleveland Clinic Hospital | General Acute Care Hospital | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2012-09-11 |
| 1356618607 | Mary M Smrekar | Nurse Practitioner | 18200 Lorain Ave, Cleveland, OH 44111-5605 | 2011-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801410030 | Julie Simon | Clinical Nurse Specialist | 9500 Euclid Ave # P3-112, Cleveland, OH 44195-0001 | 2020-06-03 |
| 1548234958 | Gwenn Holler | Clinical Nurse Specialist | 18101 Lorain Avenue, Cleveland, OH 44111 | 2006-02-14 |
| 1407473887 | Heather Keibler | Clinical Nurse Specialist | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2020-07-01 |
| 1639793151 | Marian Soat | Clinical Nurse Specialist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2020-06-01 |
| 1407412117 | Lauren Ann Bruwer | Clinical Nurse Specialist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2019-05-17 |
| 1376000315 | Carol Giomuso | Clinical Nurse Specialist | 10701 East Blvd, Cleveland, OH 44106-1702 | 2019-02-26 |
| 1013444116 | Maya Shamailov | Clinical Nurse Specialist | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-05-19 |
| 1184179590 | Jeanette Kubicki | Clinical Nurse Specialist | 9500 Euclid Ave, Mail Code: Qb1, Cleveland, OH 44195-0001 | 2016-08-16 |
| 1508319351 | James M Ward | Clinical Nurse Specialist | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2016-07-28 |
| 1700236429 | Kimberly Kalo | Clinical Nurse Specialist | 9500 Euclid Ave, Mail Code Hsb 111, Cleveland, OH 44195-0001 | 2016-06-14 |
| Find all providers in CLEVELAND | ||||
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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.