GREGORY MICHAEL BEDDELL (NPI# 1982825352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982825352 |
| Entity Type | Individual |
| Full Name | GREGORY MICHAEL BEDDELL |
| Credential | M.D. |
| Practice Address |
4275 Steels Pointe Stow OH 44224-6841 |
| Practice Telephone | 3309230399 |
| Practice Fax Number | 3309236677 |
| Mailing Telephone | 3309230399 |
| Mailing Fax Number | 3309236677 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
35088522 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 35.088522 | OH | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
35.088522 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE ID | 4315911 | 01 |
| OH | 3119977 | 05 |
| Street Address |
4275 STEELS POINTE |
| City | STOW |
| State | OH |
| Zip Code | 44224-6841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821083403 | Donna M Johnson | Audiologist | 4275 Steels Pointe, Stow, OH 44224-6841 | 2005-09-20 |
| 1619502267 | Zachary Andrew Spino | Nurse Practitioner | 4275 Steels Pointe, Stow, OH 44224-6841 | 2020-03-04 |
| 1093168114 | Colleen E Fairhurst | Physician Assistant | 4275 Steels Pointe, Stow, OH 44224-6841 | 2016-07-14 |
| 1891123626 | Rachel A Strnad | Nurse Practitioner | 4275 Steels Pointe, Stow, OH 44224-6841 | 2013-10-14 |
| 1871821645 | Seth Nathaniel Willen | Otolaryngology | 4275 Steels Pointe, Stow, OH 44224-6841 | 2009-12-05 |
| 1861664997 | Heather A Gentner | Audiologist | 4275 Steels Pointe, Stow, OH 44224-6841 | 2008-03-28 |
| 1104024595 | Matthew B Lutz | Otolaryngology | 4275 Steels Pointe, Stow, OH 44224-6841 | 2007-07-06 |
| 1467403485 | Phillip L Khalil | Otolaryngology | 4275 Steels Pointe, Stow, OH 44224-6841 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669083119 | Karlie Wardlaw | Case Manager/Care Coordinator | 4161 Brudgewater Pkwy, Stow, OH 44224 | 2020-08-10 |
| 1730733270 | Ron Rahe | Pharmacist | 1961 Marhofer Ave, Stow, OH 44224 | 2019-08-01 |
| 1306400395 | Northern Summit Counseling, LLC | Community/Behavioral Health | 4526 Stow Rd, Suite A, Stow, OH 44224 | 2019-04-25 |
| 1063930626 | Stow Recovery Specialists, LLC | Clinic/Center | 4502 Darrow Rd, Stow, OH 44224 | 2017-09-05 |
| 1396124525 | Aaron Lindstrom | Dentist | 3515 Hudson Drive Suite 100, Stow, OH 44224 | 2015-05-20 |
| 1093116519 | Progressive Hospice, LLC | Hospice Care, Community Based | 4466 Darrow Rd. Ste. 9, Stow, OH 44224 | 2014-09-16 |
| 1326368457 | Person Centered Therapies, Inc. | Speech-Language Pathologist | 3653 Darrow Rd., Suite 3, Stow, OH 44224 | 2010-06-11 |
| 1306176847 | Latoya Searight | Occupational Therapist | 2970 L'ermitage Place, Stow, OH 44224 | 2010-01-06 |
| 1144471798 | Douglas R Kast | Internal Medicine | 4465 Darrow Rd., Stow, OH 44224 | 2008-10-01 |
| 1700044526 | Edward C Maher Jr. | Dentist | 3500 Hudson Dr #3, Stow, OH 44224 | 2008-05-29 |
| Find all providers in zip 44224 | ||||
| Taxonomy Code | 2082S0099X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Plastic Surgery Within the Head and Neck |
| A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. A subspecialty certificate was approved by the ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508005505 | Hauw Han M.d. LLC | Plastic Surgery | 7593 Tylers Place Blvd Ste 104, West Chester, OH 45069-6313 | 2009-02-13 |
| 1568763985 | George Peter Parras Md Inc | Plastic Surgery | 26908 Detroit Rd, 105, Westlake, OH 44145-2398 | 2010-11-17 |
| 1952621443 | Christopher Reeder & Associates Plastic Surgery LLC | Plastic Surgery | 6728 Loop Rd, Bldg. 5, Suite 301, Centerville, OH 45459-2196 | 2010-06-07 |
| 1194874149 | Jon E Mendelsohn | Plastic Surgery | 3805 Edwards Rd, Suite 100, Cincinnati, OH 45209-1900 | 2007-01-09 |
| 1992888911 | George Peter Parras | Plastic Surgery | 26908 Detroit Rd, #105, Westlake, OH 44145-2398 | 2006-10-23 |
| 1598845323 | David A Billmire | Plastic Surgery | 3333 Burnet Ave, Ml 2020, Cincinnati, OH 45229-3026 | 2006-10-16 |
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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.