JEANETTE PORUBOVICH-MIZENKO (NPI# 1942285218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942285218 |
| Entity Type | Individual |
| Full Name | JEANETTE PORUBOVICH-MIZENKO |
| Credential | MD |
| Practice Address |
55 W Waterloo Rd Akron OH 44319-1116 |
| Mailing Address |
Po Box 30076 Cleveland OH 44130-0076 |
| Practice Telephone | 3307247715 |
| Mailing Telephone | 4408165379 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2012-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35-05-5955-P | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM | 000000028998 | 01 |
| OH | AETNA | 2228330 | 01 |
| OH | QUAL CHOICE | 80207 | 01 |
| OH | 0935420 | 05 | |
| OH | RAILROAD MEDICARE GROUP | CN3937 | 01 |
| OH | 2238206 | 05 |
| Street Address |
55 W WATERLOO RD |
| City | AKRON |
| State | OH |
| Zip Code | 44319-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001331 | Edra Collette Williams | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2020-07-30 |
| 1356993935 | Rudolph Pekarovic IIi | Nurse Practitioner | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2019-07-12 |
| 1093292047 | Holly Elizabeth Henry-nuss | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2018-07-23 |
| 1952897241 | Melissa Ann Rock | Pharmacist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2018-07-10 |
| 1649624990 | Erica Lucia Keller | Optometrist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2016-04-22 |
| 1619302114 | Christopher A Waite | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2013-09-04 |
| 1104109826 | Zachary Winkhart | Physical Therapist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2011-09-20 |
| 1639492234 | Frances Irene Snell | Nurse Practitioner | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2010-03-10 |
| 1528297041 | Mathew Clay Moughiman | Physical Therapist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2009-07-06 |
| 1568619039 | Melissa Gayle Callahan | Registered Nurse | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051250 | Charles M Gray | Non-emergency Medical Transport (VAN) | 5863 Renninger Road, New Franklin, OH 44319 | 2020-10-22 |
| 1386267383 | Melany Leek | Dentist | 2383 S Main Street, Akron, OH 44319 | 2020-05-26 |
| 1326544115 | Alpha Dental Akron - Ming Yu Dds LLC | Dentist | 3235 Manchester Rd Ste 2, Akron, OH 44319 | 2018-04-02 |
| 1972031565 | Laura Knight | Optometrist | 2694 S Main St, Akron, OH 44319 | 2017-05-26 |
| 1073937066 | Charles Curtis | Licensed Practical Nurse | 530 W Turkey Elementary School, New Fraklin, OH 44319 | 2014-02-11 |
| 1215200217 | Margaret Jane D'amico | Occupational Therapy Assistant | 607 Jarvis Road, Akron, OH 44319 | 2012-02-22 |
| 1376846360 | Britny Miller | Home Health Aide | 3790 Powell Ave, Akron, OH 44319 | 2010-12-13 |
| 1346552429 | Carina Ford | Occupational Therapist | 670 Jaris Road, Akron, OH 44319 | 2010-07-06 |
| 1831348713 | David Bruce Imbeau | Dentist | 3235 Manchester Rd. Suite #2, Akron, OH 44319 | 2008-09-16 |
| 1528216652 | Rem Ohio, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3070 Littledale Road, Akron, OH 44319 | 2008-09-03 |
| Find all providers in zip 44319 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588225205 | Tanya Charlene Marshall | Internal Medicine | 1 Akron Avenue, Akron, OH 44307 | 2019-06-24 |
| 1609300961 | Peyman Adeli Sardo | Internal Medicine | 55 Arch Street Ste 1b, Summa Health/ Internal Medicine, Akron, OH 44304-1619 | 2017-04-13 |
| 1558893693 | Melanie Duhamel | Internal Medicine | 762 Eastland Ave Ste 140, Akron, OH 44305 | 2017-03-29 |
| 1659634657 | Rebekka Hom | Internal Medicine | 1 Park West Blvd Ste 200, Akron, OH 44320-4219 | 2012-06-25 |
| 1649545161 | Kathryn Pahls Conlin | Internal Medicine | 593 Mull Ave, Akron, OH 44313 | 2012-03-16 |
| 1659650091 | Chukwuma Soyinka Osifeso | Internal Medicine | One Akron General Avenue, Ste 1505, Akron, OH 44307 | 2011-08-16 |
| 1770872863 | Michael Anthony Fistek | Internal Medicine | 3593 S Arlington Rd Ste A, Akron, OH 44312-5271 | 2011-03-30 |
| 1366753063 | Keaton Michael Bullen | Internal Medicine | 75 Arch St Ste 302, Akron, OH 44304-1432 | 2010-06-28 |
| 1902117625 | Joshua Michael Mcintire | Internal Medicine | 791 White Pond Dr Ste C, Akron, OH 44320-4202 | 2010-06-28 |
| 1801031976 | Daniel Joseph Chua | Internal Medicine | 525 E Market St Ste 3-e, Akron, OH 44304-1619 | 2008-12-03 |
| Find all providers in AKRON | ||||
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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.