PROSEARCH HEALTHCARE, INC. - NPI NUMBER 1982789988

Summary

Provider Name: PROSEARCH HEALTHCARE, INC.

NPI Number: 1982789988

Clasification: Nurse Practitioner (363L00000X)

Address:
3780 MEDINA RD STE 110
MEDINA, OH
ZIP 44256

Phone Number: (216) 406-4323



Detailed Information

PROSEARCH HEALTHCARE, INC. is a nurse practitioner in Medina, OH. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. The assigned NPI number for this provider is 1982789988 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

3780 MEDINA RD STE 110
MEDINA, OH
ZIP 44256-312
Phone: (216) 406-4323

The provider's authorized official is Laurie Mandel .
The authorized official title is President and has the following contact phone number (216) 406-4323.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 7/26/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 363L00000X Nurse Practitioner NP-02671 OH Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 Q27820 MEDICARE ID-TYPE UNSPECIFIED OH

NPI Record

No. Field Name Field Value
1 NPI 1982789988
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name PROSEARCH HEALTHCARE, INC.
5 Provider First Line Business Practice Location Address 3780 MEDINA RD STE 110
6 Provider Business Practice Location Address City Name MEDINA
7 Provider Business Practice Location Address State Name OH
8 Provider Business Practice Location Address Postal Code 442569312
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 2164064323
11 Provider Enumeration Date 10/26/2006
12 Last Update Date 7/26/2012
13 Authorized Official Last Name MANDEL
14 Authorized Official First Name LAURIE
15 Authorized Official Title or Position PRESIDENT
16 Authorized Official Telephone Number 2164064323
17 Healthcare Provider Taxonomy Code 1 363L00000X
18 Provider License Number 1 NP-02671
19 Provider License Number State Code 1 OH
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 Q27820
22 Other Provider Identifier Type Code 1 04
23 Other Provider Identifier State 1 OH
24 Is Organization Subpart N
25 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 9/11/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.