CRISTIAN N SHOFAR


Address: 14701 Detroit Ave, Suite 775, Lakewood, OH 44107-4115
Phone: 4403822817

CRISTIAN N SHOFAR (NPI# 1942410998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942410998
Entity Type Individual
Full Name CRISTIAN N SHOFAR
Credential PCC-S
Practice Address 14701 Detroit Ave
Suite 775
Lakewood
OH 44107-4115
Mailing Address 2147 Eldred Ave
Lakewood
OH 44107-5409
Practice Telephone 4403822817
Practice Fax Number 2162281610
Enumeration Date 2007-05-22
Last Update Date 2014-06-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
E. 0500421 OH Behavioral Health & Social Service Providers

Office Location

Street Address 14701 DETROIT AVE
SUITE 775
City LAKEWOOD
State OH
Zip Code 44107-4115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699778142 Richard Allen Statesir Ophthalmology 14701 Detroit Ave, Ste 280, Lakewood, OH 44107-4109 2005-05-28
1083277115 Daniel Vilamaa Case Manager/Care Coordinator 14701 Detroit Ave, Lakewood, OH 44107-4115 2019-04-15
1063970713 Jacob W Loughner Case Manager/Care Coordinator 14701 Detroit Ave, Lakewood, OH 44107-4115 2019-03-12
1629585252 Michael Patrick Wallett Hearing Instrument Specialist 14701 Detroit Ave, Lakewood, OH 44107-4115 2018-01-04
1972019644 Joseph M Guzzi Hearing Instrument Specialist 14701 Detroit Ave, Lakewood, OH 44107-4115 2017-12-18
1962877340 Sara Scarborough Speech-Language Pathologist 14701 Detroit Ave, Lakewood, OH 44107-4115 2015-12-10
1477958775 Deniz F. Koprulu Nurse Practitioner 14701 Detroit Ave, Suite 620, Lakewood, OH 44107-4115 2014-10-29
1396149662 Michelle Scianna Nurse Practitioner 14701 Detroit Ave, Suite 522, Lakewood, OH 44107-4115 2014-10-15
1275933780 Lakewood Dermatology Dermatology 14701 Detroit Ave, Suite 208, Lakewood, OH 44107-4115 2014-09-03
1558786871 Sara Walter Floreth Counselor 14701 Detroit Ave, Lakewood, OH 44107-4115 2014-02-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326522210 Lawrence M Roth Social Worker 14701 Detroit Ave Ste 363, Lakewood, OH 44107 2018-09-18
1376065730 Fareeha Khan Internal Medicine 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 2017-07-07
1912433756 Julie Ann Foucher-urcuyo Family Medicine 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 2017-05-11
1225563661 Elizabeth Ann Rainbolt Family Medicine 14601 Detroit Ave Fl 2, Lakewood, OH 44107 2017-04-24
1255882551 Kristen Murray Dietitian, Registered 14900 Detroit Ave Ste 207, Lakewood, OH 44107 2016-10-21
1265828131 David Thomas Jonke Dentist 15640 Madison Ave., Lakewood, OH 44107 2015-04-08
1760885941 Debra Watkins Home Health Aide 1510 Newman Ave Apt 406, Lakewood, OH 44107 2014-10-02
1396155198 Monica M Owen Occupational Therapist 9200 Biddulph Rd., Brooklyn, OH 44107 2014-05-01
1730512229 Marsha Elaine Favors Licensed Practical Nurse 1448 Lakeland Ave, Lakewood, OH 44107 2013-08-20
1508130006 Ruth Rachel Raciniewski Counselor 15200 Madison Avenue, Lakewood, OH 44107 2012-03-01
Find all providers in zip 44107

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396345831 Emily Newberger Counselor 777 S Wadsworth Blvd # 2-103a, Lakewood, CO 80226-4300 2020-10-26
1184230153 Eunice Njambi Waithaka Counselor 6421 Montclair Ave Sw, Lakewood, WA 98499-1586 2020-09-16
1891319018 Morgan Agagah Counselor 10911 W 16th Dr Apt 5-100, Lakewood, CO 80215-2711 2020-06-03
1629691696 Aleks Riley Taylor Counselor 8233 W Floyd Ave Apt 7-108, Lakewood, CO 80227-4743 2020-05-25
1184244378 Melissa Ann Crutchfield Counselor 13701 W Jewell Ave Ste 200, Lakewood, CO 80228-6033 2020-04-17
1518591577 Elena Kronmiller Counselor 7114 W Jefferson Ave Ste 396, Lakewood, CO 80235-2354 2020-02-28
1265075147 Sadiqah Nasira Jami Counselor 1444 Coutant Ave Apt 304, Lakewood, OH 44107-5177 2019-10-23
1336799485 Karyn Cecilia Resch Brackney Counselor 3333 S Wadsworth Blvd Unit 201, Lakewood, CO 80227-5141 2019-09-19
1487207148 Ambrosia Jones Counselor 20734 Hawaiian Ave, Lakewood, CA 90715-1627 2019-07-22
1700442589 Theodor Michael Eiben Counselor 1662 Mars Ave # 103, Lakewood, OH 44107-3825 2019-05-16
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Competitor

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City LAKEWOOD
Zip Code 44107

Improve Information

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Dataset Information

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.

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