MEDICARE: SALLY VIDMAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	172A00000X	Driver
2	3747P1801X	Personal Care Attendant
3	376J00000X	Homemaker

General Provider Information

NPI Number	:	1437018751
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALLY VIDMAR

Provider Business Mailing Address
First Line	:	135 CURTIS DR
Second Line	:
City	:	AVON LAKE
State	:	OH
Zip	:	44012-1362
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 CURTIS DR
Second Line	:
City	:	AVON LAKE
State	:	OH
Zip	:	44012-1362
Country	:	US
Telephone Number	:	440-759-4986
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

Similar Medicare Providers

1174604128 — NATHAN G ADAMS DMD, MD
Practice Location Address:

1250 E 3900 S STE 360
SALT LAKE CITY, UT
84124-1362

Practice Phone: 801-262-7447
Practice Fax: 801-262-7450

1639250673 — MICHAEL A GLADWELL D.M.D., MD
Practice Location Address:

1250 E 3900 S STE 360
SALT LAKE CITY, UT
84124-1362

Practice Phone: 801-262-7447
Practice Fax:

1063573228 — MS. MARY ELIZABETH MCGUINN M.S.W.
Practice Location Address:

300A LAKE ST # B
RAMSEY, NJ
07446-1362

Practice Phone: 201-493-1271
Practice Fax:

1073729943 — DR. LAUREN OPAL FLORENCE M.D.
Practice Location Address:

1250 EAST 3900 SOUTH , SUITE #301
SALT LAKE CITY, UT
84124-1362

Practice Phone: 801-264-9111
Practice Fax: 801-685-0440

1821288473 — MS. CYNTHIA LOU RODGERS MISCH R.N.
Practice Location Address:

519 LAKE ERIE ST
CONNEAUT, OH
44030-1362

Practice Phone: 440-599-6611
Practice Fax:

1144416280 — PARAMOUNT PEDIATRIC HOME HEALTH, INC.
Practice Location Address:

1037 STATE CIR
SALT LAKE CITY, UT
84104-1362

Practice Phone: 801-359-5437
Practice Fax: 801-532-3855

Directions to “ SALLY VIDMAR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.