Bioserenity DT Inc.

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

BIOSERENITY DT INC.

Practice address

25000 Country Club Blvd
Suite 120
North Olmsted, OH 44070

Phone

(440) 845-0022

Fax

(440) 845-0107

NPI assigned

Aug 10, 2006

Last updated

May 10, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janice Shock

Title

Evp Clinical Operations

Phone

(214) 532-3757

Specialties & licenses 1

Addresses

Locations

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nadeem Anis, MD

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1275513442
  NPD (past)
• Konrad W Bakker, M.D.

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Frederick, MD
  • NPI 1346246782
  NPD (past)
• Dorothy Ann Brodmann, OD

  • Optometrist
  • Williston, VT
  • NPI 1922077916
  NPD (past)
• Catherine Jean Chu, MD

  • Neurology Physician
  • Baltimore, MD
  • NPI 1356477038
  NPD (past)
• Rakesh Gupta, M.D.

  • Sleep Medicine (Internal Medicine) Physician
  • Somerset, MA
  • NPI 1639120561
  NPD (past)
• Donald M Jacobson, MD

  • Psychiatry Physician
  • Racine, WI
  • NPI 1912981796
  NPD (past)
• Jay Sriram Pathmanathan, M.D., PH.D.

  • Neurology Physician
  • Philadelphia, PA
  • NPI 1164545299
  NPD (past)
• Marc I Raphaelson, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Leesburg, VA
  • NPI 1841264413
  NPD (past)
• Marvin A Rossi, MD PHD

  • Neurology Physician
  • Chicago, IL
  • NPI 1275529091
  NPD (past)
• Michael Schwabe, MD

  • Neurology Physician
  • Milwaukee, WI
  • NPI 1316998735
  NPD (past)
• Brien John Smith, M.D.

  • Neurology Physician
  • Detroit, MI
  • NPI 1740355486
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1306857792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ROSEWOOD DR STE 245",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019234537",
            "telephone_number": "978-536-7400",
            "fax_number": "975-535-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 COUNTRY CLUB BLVD",
            "address_2": "SUITE 120",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "44070",
            "telephone_number": "440-845-0022",
            "fax_number": "440-845-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOSERENITY DT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "SHOCK",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "EVP CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "214-532-3757"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher H Beran
• Emily Bezilla
• Makpal Bidaibekova
• Christine E Billick, PSYD
• Jeffrey Edward Binder, D.O.
• Bioserenity USA, Inc.
• Amber Renee Bizga, D.D.S.
• Tracey Powell Blake, RCP
• John Robert Blakemore, D.D.S.
• William Stephen Blood, D.D.S. MD.

• Sleep Disorder Diagnostic Clinic/Center in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Sleep Disorder Diagnostic Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.