Angela Marie Raake (NPI# 1205329513, PAC ID# 6103175260) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205329513 |
| PAC ID by PECOS | 6103175260 |
| Professional Enrollment ID | I20180822002267 |
| Full Name | Angela Marie Raake |
| Organization Legal Name | CARDIOVASCULAR SPECIALISTS, LLC |
| Address |
7901 Diley Rd Suite 260 Canal Winchester OH 43110-9653 |
| Phone Number | 7406537511 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678626314 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360072 | FAIRFIELD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9653 | 7406537511 | CARDIOVASCULAR SPECIALISTS, LLC |
| 618 Pleasantville Rd, Suite 101, Lancaster, OH 43130-3325 | 7406537511 | CARDIOVASCULAR SPECIALISTS, LLC |
| Organization Legal Name | CARDIOVASCULAR SPECIALISTS, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shantanu Sinha | Cardiovascular Disease (cardiology) | Cardiovascular Specialists, LLC | 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9653 |
| Delores Bardales | Nurse Practitioner | Cardiovascular Specialists, LLC | 618 Pleasantville Rd, Suite 101, Lancaster, OH 43130-3325 |
| Mobusher Mahmud | Cardiovascular Disease (cardiology) | Cardiovascular Specialists, LLC | 618 Pleasantville Rd, Suite 101, Lancaster, OH 43130-3325 |
| Mellisa R Hoffman | Nurse Practitioner | Cardiovascular Specialists, LLC | 618 Pleasantville Rd, Suite 101, Lancaster, OH 43130-3325 |
| Vijaya Venkataraman | Nephrology | Cardiovascular Specialists, LLC | 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9653 |
| Richard Mark Bardales | Cardiovascular Disease (cardiology) | Cardiovascular Specialists, LLC | 618 Pleasantville Rd, Suite 101, Lancaster, OH 43130-3325 |
| Shauna Glenn | Nurse Practitioner | Cardiovascular Specialists, LLC | 618 Pleasantville Rd, Suite 101, Lancaster, OH 43130-3325 |
| Mary Shannon Wilson | Nurse Practitioner | Cardiovascular Specialists, LLC | 618 Pleasantville Rd, Suite 101, Lancaster, OH 43130-3325 |
| Street Address |
7901 DILEY RD SUITE 260 |
| City | CANAL WINCHESTER |
| State | OH |
| Zip | 43110-9653 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Craig Weiser | Urology | Central Ohio Urology Group, LLC. | 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9613 |
| Martin Andrews | Anesthesiology | 7901 Diley Rd, Suite 130, Canal Winchester, OH 43110-9653 | |
| Paul J Schorr | Physician Assistant | Diley Medical Group LLC | 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9613 |
| Shantanu Sinha | Cardiovascular Disease (cardiology) | Cardiovascular Specialists, LLC | 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9653 |
| Michele Long | Nurse Practitioner | Diley Medical Group LLC | 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9613 |
| Gregory B Comfort Jr. | Cardiovascular Disease (cardiology) | Mount Carmel Health Providers Two LLC | 7901 Diley Rd, Canal Winchester, OH 43110-9612 |
| Amrita M Karve | Cardiovascular Disease (cardiology) | Mount Carmel Health Providers Two LLC | 7901 Diley Rd, Canal Winchester, OH 43110-9612 |
| Emily Maupin | Physician Assistant | Diley Medical Group LLC | 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9613 |
| Megan Bosson | Physician Assistant | Diley Medical Group LLC | 7901 Diley Rd, Suite 260, Canal Winchester, OH 43110-9613 |
| Roy R Brown Jr. | Urology | Fairfield Healthcare Professionals Inc | 7901 Diley Rd, Suite 120, Canal Winchester, OH 43110-9612 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teresa Ellen Quinlin | Family Medicine | 28 E Waterloo St, Canal Winchester, OH 43110-1138 | |
| William D Murray | Optometry | Richard C Mcclurg Od and William Murray Od LLC | 20 S High St, Canal Winchester, OH 43110-1251 |
| Richard Mcclurg | Optometry | Richard C Mcclurg Od and William Murray Od LLC | 20 S High St, Canal Winchester, OH 43110-1251 |
| Jeffrey A Myers | Optometry | Winchester Vision Care Inc | 6472 Winchester Blvd, Canal Winchester, OH 43110-2004 |
| Kari R Cardiff | Optometry | Winchester Vision Care Inc | 6472 Winchester Blvd, Canal Winchester, OH 43110-2004 |
| Amy R Keller | Optometry | Winchester Vision Care Inc | 6472 Winchester Blvd, Canal Winchester, OH 43110-2004 |
| Larisa Ravitskiy | Dermatology | 6201 Gender Rd, Canal Winchester, OH 43110-2007 | |
| Lara Blumberg | Family Medicine | Central Ohio Primary Care Physicians, Inc. | 6201 Gender Rd, Canal Winchester, OH 43110-2007 |
| Brian J Fornadel | Family Medicine | Central Ohio Primary Care Physicians, Inc. | 6201 Gender Rd, Canal Winchester, OH 43110-2007 |
| Stephanie T Burkart | Nurse Practitioner | Central Ohio Primary Care Physicians, Inc. | 6201 Gender Rd, Canal Winchester, OH 43110-2007 |
| Find all physicians in zip 43110 | |||
| City | CANAL WINCHESTER |
| Zip Code | 43110 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CANAL WINCHESTER + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.