JOEL D PROVENZANO (NPI# 1942431515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942431515 |
| Entity Type | Individual |
| Full Name | JOEL D PROVENZANO |
| Credential | M.D. |
| Practice Address |
1040 Delaware Ave Marion OH 43302 |
| Mailing Address |
1040 Delaware Ave Marion OH 43302-6416 |
| Practice Telephone | 7403758135 |
| Practice Fax Number | 7403756468 |
| Mailing Telephone | 7403758135 |
| Mailing Fax Number | 7403756468 |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
35.099189 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0071205 | 05 |
| Street Address |
1040 DELAWARE AVE |
| City | MARION |
| State | OH |
| Zip Code | 43302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831193754 | Sherrie Helen Stump | Audiologist | 1040 Delaware Ave, Marion, OH 43302-6416 | 2005-06-09 |
| 1699304303 | Brooke Taylor Lowe | Registered Nurse | 1040 Delaware Ave, Marion, OH 43302-6416 | 2020-04-04 |
| 1437707031 | Shawn Thomas Beltz | Physician Assistant | 1040 Delaware Ave, Marion, OH 43302-6416 | 2019-08-28 |
| 1306361498 | Nicole Marie Harvey | Physician Assistant | 1040 Delaware Ave, Marion, OH 43302-6416 | 2017-08-09 |
| 1578015806 | Amanda Dulan | Pharmacist | 1040 Delaware Ave, Marion, OH 43302-6416 | 2016-11-03 |
| 1144678913 | Seth Risner | Pharmacist | 1040 Delaware Ave, Marion, OH 43302-6416 | 2016-06-02 |
| 1427494277 | Marion General Hospital, Inc. | Clinical Medical Laboratory | 1040 Delaware Ave, Marion, OH 43302-6416 | 2013-05-21 |
| 1386986248 | Theresa Lynn Cline | Registered Nurse | 1040 Delaware Ave, Marion, OH 43302-6416 | 2013-03-19 |
| 1396096418 | Jackie Lee Quach | Pediatrics | 1040 Delaware Ave, Marion, OH 43302-6416 | 2012-09-28 |
| 1619230802 | Marion Area Physicians LLC | Orthopaedic Surgery | 1040 Delaware Ave, Marion, OH 43302-6416 | 2012-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| Find all providers in zip 43302 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1396017752 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 2293 Sugar Hill Rd, Suite B, Marion, NC 28752-7787 | 2012-02-01 |
| 1710084942 | Ramesh I Patel and Jitendra I Patel Ptr | Internal Medicine | 315 N Western Ave, Marion, IN 46952-3479 | 2006-09-20 |
| 1841307923 | Richard S Goodstein | Internal Medicine | 330 N Wabash Ave Ste 450, Marion, IN 46952-2781 | 2006-08-24 |
| 1508822446 | Mushtaq Ahmad | Internal Medicine | 1021 Harding Memorial Pkwy, Marion, OH 43302-6315 | 2006-04-20 |
| 1023363256 | Marion Pulmonary & Sleep Clinic | Internal Medicine | 1063 Harding Memorial Pkwy, Marion, OH 43302-6365 | 2012-07-13 |
| 1437424496 | Aileen Theresa Ruffino | Internal Medicine | 1040 Delaware Ave, Marion, OH 43302-6416 | 2012-03-09 |
| 1083778500 | Mushtaq Ahmad Md LLC | Internal Medicine | 1063 Harding Memorial Pkwy, Marion, OH 43302-6365 | 2006-12-20 |
| 1437235660 | Edmundo David Sandoval | Internal Medicine | Va Medical Center, 2459 W Main St, Marion, IL 62959 | 2006-10-31 |
| 1821192253 | Jitendra I Patel | Internal Medicine | 330 N Wabash, Ste 450, Marion, IN 46952-2781 | 2006-09-07 |
| 1487757811 | Rameshchandra I Patel | Internal Medicine | 330 N Wabash, Ste 450, Marion, IN 46952-2781 | 2006-09-07 |
| Find all providers in MARION | ||||
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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.