DR. MACKENZIE VARKULA (NPI# 1891973608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891973608 |
| Entity Type | Individual |
| Full Name | DR. MACKENZIE VARKULA |
| Credential | D.O. |
| Practice Address |
18101 Lorain Ave Ppsy Cleveland OH 44111-5612 |
| Practice Telephone | 2164766958 |
| Practice Fax Number | 2164764845 |
| Mailing Telephone | 2164766958 |
| Mailing Fax Number | 2164764845 |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2010-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
34.009623 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
18101 LORAIN AVE PPSY |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261886 | Raymond Zyck | Anesthesiology | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2005-08-09 |
| 1063011526 | Hassan Mohamed Shaheen | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-10-25 |
| 1164036737 | Feras Alkhalaileh | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-09-01 |
| 1700499555 | Bindesh Ghimire | Internal Medicine | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-08-30 |
| 1851903397 | Sachin Kumar | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-08-17 |
| 1548871908 | Georges Abi Roustom | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-08-11 |
| 1730798992 | Tarini Natalya Elapata Gunaratne | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-07-23 |
| 1598373987 | Komal Mushtaq | Student in an Organized Health Care Education/Training Program | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-07-21 |
| 1437767613 | Jessica Chan | Pharmacist | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-07-14 |
| 1750909073 | Anoosha Maria Tauquir | Internal Medicine | 18101 Lorain Ave, Cleveland, OH 44111-5612 | 2020-07-13 |
| 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 | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456322 | Basim Mikhail | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-04 |
| 1376997643 | Emily Nhu Cao | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-04-22 |
| 1457788960 | Florence Kimbo M.d., LLC | Psychiatry & Neurology | 18660 Bagley Rd Bldg 1, Suite 404, Cleveland, OH 44130-3483 | 2013-09-28 |
| 1396087953 | Shivnaveen Bains | Psychiatry & Neurology | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2013-03-21 |
| 1407141559 | Priya Vaidya Shrestha | Psychiatry & Neurology | 10524 Euclid Ave, Cleveland, OH 44106-2205 | 2011-06-16 |
| 1275846669 | Stephanie Mae Pope | Psychiatry & Neurology | 11100 Euclid Ave, University Hospitals Case Medical Center, Cleveland, OH 44106-1716 | 2010-07-14 |
| 1760707103 | Jason Vincent Lambrese | Psychiatry & Neurology | 9500 Euclid Ave # P57, Cleveland, OH 44195-0002 | 2010-03-29 |
| 1194954826 | Imran M Shakir | Psychiatry & Neurology | 10524 Euclid Ave, Cleveland, OH 44106-2205 | 2009-07-01 |
| 1235326992 | Mary Celestine Hall Mennes | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2007-09-26 |
| 1619170990 | Solomon G Zaraa | Psychiatry & Neurology | 10524 Euclid Ave, Cleveland, OH 44106-2205 | 2007-06-06 |
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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.