Lorain County Health & Dentistry | |
1205 Broadway Ave. Lorain OH 44052-3409 | |
(440) 240-1655 | |
(440) 233-0194 |
Full Name | Lorain County Health & Dentistry |
---|---|
Speciality | Clinic/Center |
Location | 1205 Broadway Ave., Lorain, Ohio |
Authorized Official Name and Position | Lisa M. Hemker (CFO) |
Authorized Official Contact | 4402401655 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lorain County Health & Dentistry 1205 Broadway Lorain OH 44052-3409 Ph: (440) 240-1655 | Lorain County Health & Dentistry 1205 Broadway Ave. Lorain OH 44052-3409 Ph: (440) 240-1655 |
NPI Number | 1215194527 |
---|---|
Provider Enumeration Date | 05/22/2008 |
Last Update Date | 06/15/2021 |
Medicare PECOS PAC ID | 9234047853 |
---|---|
Medicare Enrollment ID | O20031105000774 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215194527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Marcietta Renee Wilson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1801860572 PECOS PAC ID: 6901878628 Enrollment ID: I20040811001289 |
Provider Name | Douglas G Mcdonald |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891723755 PECOS PAC ID: 9931164803 Enrollment ID: I20041120000055 |
Provider Name | David J Sterna |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992870265 PECOS PAC ID: 6800843186 Enrollment ID: I20050407001348 |
Provider Name | Robyn J Miklovich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871513762 PECOS PAC ID: 9335178219 Enrollment ID: I20050810001268 |
Provider Name | Brooke E Hohn |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821065087 PECOS PAC ID: 5092734871 Enrollment ID: I20051122000504 |
Provider Name | Jennifer Casey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417040155 PECOS PAC ID: 7315951928 Enrollment ID: I20060203000078 |
Provider Name | John R Smith |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225244106 PECOS PAC ID: 7911912233 Enrollment ID: I20060209000016 |
Provider Name | Brian Lott |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801862826 PECOS PAC ID: 8022098896 Enrollment ID: I20060222000714 |
Provider Name | Jeffrey S Christian |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1578525903 PECOS PAC ID: 0446268379 Enrollment ID: I20060404000003 |
Provider Name | Mohammad Naeem |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1063488815 PECOS PAC ID: 0648272476 Enrollment ID: I20070208000057 |
Provider Name | Kurtis C Dornan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518188879 PECOS PAC ID: 9234221797 Enrollment ID: I20070828001118 |
Provider Name | David John Hintz |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1619078755 PECOS PAC ID: 0749370500 Enrollment ID: I20071217000432 |
Provider Name | Edward L Cornett |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1124064274 PECOS PAC ID: 8224110614 Enrollment ID: I20080818000025 |
Provider Name | Kathleen Marie Malear |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881831311 PECOS PAC ID: 9638234164 Enrollment ID: I20090218000097 |
Provider Name | Brett Edward Toward |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003804329 PECOS PAC ID: 1153235734 Enrollment ID: I20091013000487 |
Provider Name | Virginia B Brugger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457671091 PECOS PAC ID: 9931230802 Enrollment ID: I20100622000473 |
Provider Name | Joyce Ramsue-thompson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124111851 PECOS PAC ID: 4587789557 Enrollment ID: I20100915000298 |
Provider Name | Darla G Mitchell |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1669772885 PECOS PAC ID: 3173710795 Enrollment ID: I20101208001237 |
Provider Name | Peggy A Kaminski |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1699857938 PECOS PAC ID: 5294992822 Enrollment ID: I20120208001001 |
Provider Name | Nancy N Capito |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467703835 PECOS PAC ID: 3779733845 Enrollment ID: I20121025000702 |
Provider Name | Rosalie B Beverly |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457388944 PECOS PAC ID: 3375556798 Enrollment ID: I20121110000038 |
Provider Name | Katherine B Beltz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144564618 PECOS PAC ID: 8022262054 Enrollment ID: I20130129000150 |
Provider Name | Ginny Harvey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1346496882 PECOS PAC ID: 7618119330 Enrollment ID: I20130808000969 |
Provider Name | Jessica N Mccullough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275730376 PECOS PAC ID: 6204078470 Enrollment ID: I20130819000201 |
Provider Name | Sheri N Kershaw |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306274501 PECOS PAC ID: 4082841820 Enrollment ID: I20131226000408 |
Provider Name | Jennifer Marie Tassinari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033273776 PECOS PAC ID: 1456406834 Enrollment ID: I20140508002214 |
Provider Name | Gabrielle M Ruff |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1598077711 PECOS PAC ID: 9931332327 Enrollment ID: I20140509001605 |
Provider Name | Sureshchandra P Thakker |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1982717302 PECOS PAC ID: 6002030715 Enrollment ID: I20140620000457 |
Provider Name | Joy A Jordan |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1821261843 PECOS PAC ID: 6800112467 Enrollment ID: I20150226001447 |
Provider Name | Tracy Hardy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932520418 PECOS PAC ID: 5890009229 Enrollment ID: I20150729009966 |
Provider Name | Leslie Kushner |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1033478045 PECOS PAC ID: 3476868977 Enrollment ID: I20150812008476 |
Provider Name | Janice L Sanford-russo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528361474 PECOS PAC ID: 8921316142 Enrollment ID: I20151007001871 |
Provider Name | Jennifer L Shockley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588034656 PECOS PAC ID: 0446569750 Enrollment ID: I20151027000672 |
Provider Name | Abby Pfleiderer Myers |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1861861171 PECOS PAC ID: 3476863531 Enrollment ID: I20151103000242 |
Provider Name | Kimberley Vales |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912314105 PECOS PAC ID: 2567763568 Enrollment ID: I20151216001982 |
Provider Name | Kristin W Guilonard |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1952504763 PECOS PAC ID: 3072677137 Enrollment ID: I20160212001528 |
Provider Name | Christopher Pardee |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1558624023 PECOS PAC ID: 3870898562 Enrollment ID: I20160217001251 |
Provider Name | Dominik Berdysz |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1073927414 PECOS PAC ID: 0749585438 Enrollment ID: I20160217001341 |
Provider Name | Kari A Cunningham |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1164741732 PECOS PAC ID: 9739485095 Enrollment ID: I20160311001704 |
Provider Name | Jessica Springer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568829059 PECOS PAC ID: 0345539490 Enrollment ID: I20160513000481 |
Provider Name | Jessica L Petrey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144680570 PECOS PAC ID: 6305138553 Enrollment ID: I20160707002020 |
Provider Name | Veronica M Tarkenton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750714390 PECOS PAC ID: 6507090230 Enrollment ID: I20161003001913 |
Provider Name | Juan R Gonzalez |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1437162724 PECOS PAC ID: 2466731096 Enrollment ID: I20161122000903 |
Provider Name | Beatrice Cardona Weese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104210715 PECOS PAC ID: 8022312941 Enrollment ID: I20170222002287 |
Provider Name | Bethany L Doroghazi |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1750646188 PECOS PAC ID: 9436399243 Enrollment ID: I20170426002864 |
Provider Name | Addie A Shock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215380423 PECOS PAC ID: 5294002762 Enrollment ID: I20170605001649 |
Provider Name | Laura Lynn Kane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679091318 PECOS PAC ID: 7517229073 Enrollment ID: I20180320003472 |
Provider Name | Helen S Nahouraii |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1376697870 PECOS PAC ID: 5597022699 Enrollment ID: I20180702003542 |
Provider Name | David P Dobrowski |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1891853545 PECOS PAC ID: 9830496777 Enrollment ID: I20180926000894 |
Provider Name | Marianne J Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568937324 PECOS PAC ID: 3577816669 Enrollment ID: I20181018001834 |
Provider Name | Joseph A Kunchik |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1487668356 PECOS PAC ID: 3971824210 Enrollment ID: I20181022001466 |
Provider Name | Julia Shneyderman |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1215422001 PECOS PAC ID: 2668708827 Enrollment ID: I20190725000995 |
Provider Name | Patrick J Walsh |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1780093955 PECOS PAC ID: 2264768118 Enrollment ID: I20190730002587 |
Provider Name | Kathleen Kern |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1306085451 PECOS PAC ID: 3577994672 Enrollment ID: I20200505001453 |
Provider Name | Ashley N Langer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407477946 PECOS PAC ID: 9335561976 Enrollment ID: I20200626001865 |
Provider Name | Amy S Newton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487292272 PECOS PAC ID: 3779902812 Enrollment ID: I20200923001981 |
Provider Name | Brittney Kittrell |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1912460627 PECOS PAC ID: 3577806702 Enrollment ID: I20201006000622 |
Provider Name | Emily I Tseng |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871999573 PECOS PAC ID: 2567726649 Enrollment ID: I20201015003143 |
Provider Name | Sheryl Aponte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902423429 PECOS PAC ID: 2163834417 Enrollment ID: I20201210002439 |
Provider Name | Kristina B Gadomski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407451545 PECOS PAC ID: 4587078936 Enrollment ID: I20210127000955 |
Provider Name | Yousif Tayeh |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1518533652 PECOS PAC ID: 2466852926 Enrollment ID: I20210621002385 |
Provider Name | Abbey N Hobart |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396337986 PECOS PAC ID: 3173912706 Enrollment ID: I20211119000546 |
Provider Name | Alex S Yeh |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1164096590 PECOS PAC ID: 6800298183 Enrollment ID: I20220105001325 |
Provider Name | Zamira Jani |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1194086645 PECOS PAC ID: 4385037704 Enrollment ID: I20220208001389 |
Provider Name | Jessica West |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518603273 PECOS PAC ID: 0941682397 Enrollment ID: I20220801002577 |
Provider Name | Aaron Martinez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740785013 PECOS PAC ID: 1951639988 Enrollment ID: I20220818002152 |
Provider Name | Jazmyn Agudelo Mustafa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083323851 PECOS PAC ID: 7911356670 Enrollment ID: I20231207001210 |
Provider Name | Nicole Holt |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1235646597 PECOS PAC ID: 3274976238 Enrollment ID: I20240206004066 |
Provider Name | Jerome Jordan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992560809 PECOS PAC ID: 0345688669 Enrollment ID: I20240405001894 |
Provider Name | Carol Crow |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1043700107 PECOS PAC ID: 6406296235 Enrollment ID: I20240426002556 |
Provider Name | Timothy Bartholomew |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1306077656 PECOS PAC ID: 8921300401 Enrollment ID: I20240429000518 |
Mercy Health Physicians Lorain, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3700 Kolbe Rd, Lorain, OH 44053 Phone: 440-988-1009 | |
Lorain County Health & Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6150 Park Square Dr., Lorain, OH 44053 Phone: 440-240-1655 Fax: 440-240-1655 | |
F.e. Yuzon, M.d. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3885 Oberlin Ave, Lorain, OH 44053 Phone: 440-282-5100 Fax: 440-282-1302 | |
Lorain County Health & Dentistry Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3745 Grove Ave., Lorain, OH 44055 Phone: 440-240-1655 Fax: 440-240-1663 | |
Liwanag Asuncion M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1515 Kansas Ave, Lorain, OH 44052 Phone: 440-288-1216 | |
Abdul T Razack M D Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3600 Kolbe Rd, Suite 221, Lorain, OH 44053 Phone: 440-960-2718 Fax: 440-960-5633 |