KELLY STASA (NPI# 1912378134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912378134 |
| Entity Type | Individual |
| Full Name | KELLY STASA |
| Credential | CNP |
| Practice Address |
4235 Secor Rd Toledo OH 43623-4231 |
| Mailing Address |
854 S Hill Park Dr Holland OH 43528-9647 |
| Practice Telephone | 4194733561 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
COA.17942-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4235 SECOR RD |
| City | TOLEDO |
| State | OH |
| Zip Code | 43623-4231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134122294 | George John Charney Jr. | Anesthesiology | 4235 Secor Rd, Toledo, OH 43623-4231 | 2005-05-23 |
| 1588263180 | Breanne Marie Schotter | Family Medicine | 4235 Secor Rd, Toledo, OH 43623-4231 | 2020-10-23 |
| 1215554266 | Hui Ling Chen | Nurse Practitioner | 4235 Secor Rd, Toledo, OH 43623-4231 | 2020-06-25 |
| 1417573957 | Tiffany Ashlynn Schaffner | Nurse Practitioner | 4235 Secor Rd, Toledo, OH 43623-4299 | 2020-06-21 |
| 1013545631 | Alexander Norwood | Nurse Practitioner | 4235 Secor Rd, Toledo, OH 43623-4231 | 2020-03-30 |
| 1790318525 | Cassandra Roy | Nurse Practitioner | 4235 Secor Rd, Toledo, OH 43623-4231 | 2020-02-20 |
| 1255989166 | Jill Gilsdorf | Nurse Practitioner | 4235 Secor Rd, Toledo, OH 43623-4231 | 2019-09-04 |
| 1407404528 | Darlene Krol | Dietitian, Registered | 4235 Secor Rd, Toledo, OH 43623-4231 | 2019-09-02 |
| 1063066942 | Lauren Nicole Huffman | Nurse Practitioner | 4235 Secor Rd, Toledo, OH 43623-4299 | 2019-07-29 |
| 1124689526 | Toledo Clinic Incorporated | Clinic/Center | 4235 Secor Rd, Toledo, OH 43623-4231 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
| 1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
| 1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
| 1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
| 1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
| 1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
| 1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
| 1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
| 1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
| 1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
| Find all providers in zip 43623 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
| 1649894577 | Victoria Rose Janowiecki | Nurse Practitioner | 1703 Gilbert Rd, Toledo, OH 43614-4010 | 2020-06-06 |
| 1851852800 | Courtney Noel Saffle | Nurse Practitioner | 4923 Elmhurst Rd, Toledo, OH 43613-3040 | 2019-03-30 |
| 1760940506 | Jacqueline Jena Maiden | Nurse Practitioner | 3560 Robin Rd, Toledo, OH 43623-1843 | 2019-03-12 |
| 1508341140 | Heather K Hornyak | Nurse Practitioner | 3840 Woodley Rd Ste B, Toledo, OH 43606-1178 | 2018-09-29 |
| 1972087542 | Tracey Morran | Nurse Practitioner | 4235 Secor Rd Bldg 1, Toledo, OH 43623-4231 | 2018-09-19 |
| 1689155095 | Falak Youssef | Nurse Practitioner | 3704 Willow Lane Dr, Toledo, OH 43615-1163 | 2018-08-23 |
| 1932687696 | Rashonda Nicole Hall | Nurse Practitioner | 5916 Staghorn Dr, Toledo, OH 43614-4565 | 2018-08-03 |
| 1194203539 | Rachel Denae York | Nurse Practitioner | 2150 W Central Ave Ste G, Toledo, OH 43606-3859 | 2018-07-28 |
| 1730675471 | Janna Wayne | Nurse Practitioner | 5800 Park Center Ct Ste C, Toledo, OH 43615-0710 | 2018-07-05 |
| Find all providers in TOLEDO | ||||
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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.